Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $31,622.78	Facility		$380.19	$831.76	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $501.19	Professional		$380.19	$389.05	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $2,511.89	Facility		$416.87	$724.44	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $691.83	Professional		$380.19	$426.58	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Facility		$363.08	$363.08	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $537.03	Professional		$380.19	$380.19	$537.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $1,318.26	Facility		$363.08	$380.19	$1,318.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $537.03	Professional		$380.19	$380.19	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $562.34	Professional		$380.19	$478.63	$562.34
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $891.25	Professional		$380.19	$645.65	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Facility		$380.19	$380.19	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $446.68	Professional		$380.19	$407.38	$446.68