Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,137.96	Facility		$1,288.25	$1,445.44	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,949.84	Professional		$1,122.02	$1,412.54	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,398.83	Professional		$1,122.02	$1,318.26	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $257.04	Facility		$125.89	$190.55	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $346.74	Professional		$165.96	$229.09	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $223.87	Facility		$144.54	$144.54	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $2,137.96	Professional		$123.03	$123.03	$2,137.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $223.87	Facility		$144.54	$144.54	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $213.80	Professional		$123.03	$123.03	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $389.05 / $2,398.83	Professional		$144.54	$389.05	$2,398.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $5,623.41	Professional		$2,089.30	$3,019.95	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $724.44 / $1,318.26	Facility		$104.71	$724.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,412.54	Professional		$512.86	$831.76	$1,412.54