Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $257.04	Facility		$141.25	$141.25	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $398.11	Professional		$229.09	$269.15	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $478.63	Facility		$181.97	$363.08	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $234.42	Professional		$204.17	$223.87	$234.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $281.84	Facility		$141.25	$186.21	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $257.04	Professional		$102.33	$151.36	$257.04