Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $707.95	Facility		$234.42	$467.74	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Professional		$234.42	$234.42	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $1,202.26	Facility		$251.19	$436.52	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $398.11	Professional		$234.42	$263.03	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Professional		$239.88	$239.88	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $398.11	Facility		$218.78	$218.78	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $398.11	Professional		$234.42	$234.42	$398.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $234.42 / $758.58	Facility		$218.78	$234.42	$758.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $446.68	Professional		$234.42	$234.42	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $338.84	Professional		$234.42	$263.03	$338.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $457.09	Professional		$239.88	$269.15	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $239.88	Facility		$234.42	$234.42	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $263.03	Professional		$154.88	$234.42	$263.03