Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $912.01 / $1,318.26	Facility		$426.58	$912.01	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $537.03	Professional		$426.58	$436.52	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $741.31	Professional		$426.58	$478.63	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Professional		$426.58	$426.58	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Professional		$426.58	$426.58	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $616.60	Professional		$426.58	$537.03	$616.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $588.84	Professional		$524.81	$562.34	$588.84