Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $426.58 / $616.60	Facility		$371.54	$426.58	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $562.34	Professional		$346.74	$426.58	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $758.58	Professional		$380.19	$467.74	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $69.18 / $691.83	Facility		$34.67	$69.18	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $831.76	Professional		$44.67	$93.33	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $537.03	Facility		$426.58	$426.58	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $602.56	Professional		$363.08	$363.08	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $537.03	Facility		$223.87	$426.58	$537.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $363.08 / $426.58	Professional		$63.10	$363.08	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $91.20 / $575.44	Professional		$33.11	$91.20	$575.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,819.70	Professional		$660.69	$954.99	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $251.19 / $426.58	Facility		$37.15	$251.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $457.09	Professional		$165.96	$295.12	$457.09