Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $457.09	Professional		$263.03	$346.74	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $851.14	Facility		$575.44	$602.56	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $954.99	Professional		$426.58	$489.78	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $588.84	Facility		$34.67	$323.59	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $354.81 / $588.84	Professional		$44.67	$354.81	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $575.44	Professional		$302.00	$302.00	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $575.44	Facility		$354.81	$354.81	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $467.74	Professional		$302.00	$354.81	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $912.01	Professional		$457.09	$575.44	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,096.48	Professional		$549.54	$645.65	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $251.19 / $407.38	Facility		$33.11	$251.19	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $489.78	Professional		$194.98	$309.03	$489.78