Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $398.11	Professional		$251.19	$309.03	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $758.58	Facility		$512.86	$549.54	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $660.69	Professional		$302.00	$371.54	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $281.84 / $446.68	Facility		$37.15	$281.84	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $323.59 / $537.03	Professional		$32.36	$323.59	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $501.19	Facility		$309.03	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $575.44	Professional		$263.03	$263.03	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $501.19	Facility		$309.03	$309.03	$501.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $371.54	Professional		$263.03	$309.03	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $575.44	Professional		$288.40	$354.81	$575.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $851.14	Professional		$436.52	$512.86	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $169.82 / $323.59	Facility		$20.89	$169.82	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $323.59	Professional		$144.54	$223.87	$323.59