Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $660.69	Facility		$380.19	$446.68	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $588.84	Professional		$371.54	$446.68	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $851.14	Professional		$426.58	$457.09	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $691.83	Facility		$36.31	$72.44	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $831.76	Professional		$46.77	$97.72	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $338.84	Facility		$257.04	$257.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $630.96	Professional		$218.78	$218.78	$630.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $338.84	Facility		$223.87	$257.04	$338.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $218.78 / $257.04	Professional		$70.79	$218.78	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $107.15 / $758.58	Professional		$43.65	$107.15	$758.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,949.84	Professional		$707.95	$1,047.13	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $275.42 / $501.19	Facility		$41.69	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $512.86	Professional		$190.55	$323.59	$512.86