Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $346.74	Professional		$204.17	$257.04	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $467.74 / $660.69	Facility		$436.52	$467.74	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $724.44	Professional		$323.59	$354.81	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $223.87 / $407.38	Facility		$25.12	$223.87	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $263.03 / $407.38	Professional		$33.11	$263.03	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $331.13	Facility		$263.03	$263.03	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $426.58	Professional		$223.87	$223.87	$426.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $426.58	Facility		$263.03	$263.03	$426.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $346.74	Professional		$223.87	$263.03	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $676.08	Professional		$338.84	$416.87	$676.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $812.83	Professional		$407.38	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $181.97 / $302.00	Facility		$24.55	$181.97	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $354.81	Professional		$144.54	$229.09	$354.81