Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $363.08	Facility		$66.07	$128.82	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $524.81	Professional		$64.57	$67.61	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $234.42	Facility		$70.79	$112.20	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $131.83	Professional		$66.07	$74.13	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Facility		$61.66	$61.66	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $630.96	Professional		$66.07	$66.07	$630.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Facility		$61.66	$61.66	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $630.96	Professional		$66.07	$66.07	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $120.23	Professional		$66.07	$91.20	$120.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $158.49	Professional		$67.61	$114.82	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $87.10	Facility		$66.07	$66.07	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20