Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $512.86	Professional		$288.40	$371.54	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $912.01	Facility		$602.56	$645.65	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $1,023.29	Professional		$457.09	$512.86	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $331.13 / $602.56	Facility		$36.31	$331.13	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $371.54 / $602.56	Professional		$47.86	$371.54	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $602.56	Professional		$316.23	$316.23	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $602.56	Facility		$380.19	$380.19	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $489.78	Professional		$316.23	$380.19	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $977.24	Professional		$489.78	$602.56	$977.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,174.90	Professional		$588.84	$691.83	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $263.03 / $436.52	Facility		$35.48	$263.03	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $512.86	Professional		$204.17	$331.13	$512.86