Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $446.68	Facility		$114.82	$218.78	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $245.47	Professional		$85.11	$97.72	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $223.87	Facility		$109.65	$128.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $154.88	Professional		$60.26	$85.11	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $138.04	Facility		$104.71	$104.71	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $457.09	Facility		$77.62	$77.62	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $125.89	Professional		$63.10	$63.10	$125.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $457.09	Facility		$77.62	$123.03	$457.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Professional		$63.10	$63.10	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $281.84	Professional		$77.62	$125.89	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $91.20	Facility		$42.66	$77.62	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $162.18	Professional		$51.29	$72.44	$162.18