Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $331.13	Professional		$208.93	$257.04	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $501.19	Professional		$295.12	$309.03	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.02 / $446.68	Facility		$20.89	$38.02	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $446.68	Professional		$26.92	$38.02	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $295.12	Facility		$239.88	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Professional		$204.17	$204.17	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $416.87	Facility		$239.88	$239.88	$416.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $204.17 / $239.88	Professional		$36.31	$204.17	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $489.78	Professional		$199.53	$331.13	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $724.44	Professional		$363.08	$426.58	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $165.96 / $309.03	Facility		$19.95	$165.96	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $309.03	Professional		$138.04	$208.93	$309.03