Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $371.54	Professional		$218.78	$263.03	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $707.95	Facility		$467.74	$501.19	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $776.25	Professional		$346.74	$354.81	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $223.87 / $446.68	Facility		$25.12	$223.87	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $269.15 / $398.11	Professional		$33.11	$269.15	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Facility		$229.09	$229.09	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $457.09	Professional		$194.98	$194.98	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $457.09	Facility		$229.09	$229.09	$457.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $389.05	Professional		$194.98	$229.09	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $616.60	Professional		$251.19	$416.87	$616.60
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 $24.55 / $190.55 / $316.23	Facility		$24.55	$190.55	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $354.81	Professional		$154.88	$229.09	$354.81