Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,023.29	Facility		$371.54	$630.96	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $512.86	Professional		$371.54	$371.54	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $691.83 / $1,905.46	Facility		$398.11	$691.83	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $676.08	Professional		$371.54	$416.87	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $371.54	Facility		$346.74	$346.74	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Professional		$371.54	$371.54	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $371.54	Facility		$346.74	$346.74	$371.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Professional		$371.54	$371.54	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $758.58	Professional		$398.11	$524.81	$758.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $851.14	Professional		$371.54	$616.60	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $371.54	Facility		$363.08	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Professional		$371.54	$371.54	$398.11