Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $602.56	Facility		$346.74	$457.09	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $457.09	Professional		$239.88	$323.59	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $1,412.54	Facility		$660.69	$691.83	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $831.76	Professional		$323.59	$380.19	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $758.58	Facility		$316.23	$478.63	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $851.14	Professional		$407.38	$575.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $870.96	Facility		$416.87	$416.87	$870.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $562.34	Professional		$281.84	$389.05	$562.34
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,348.96	Professional		$660.69	$724.44	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $645.65	Facility		$234.42	$309.03	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $426.58	Professional		$208.93	$302.00	$426.58