Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $239.88	Facility		$134.90	$162.18	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $169.82	Professional		$77.62	$114.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $549.54	Facility		$257.04	$275.42	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $331.13	Professional		$117.49	$147.91	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $234.42	Facility		$97.72	$144.54	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $263.03	Professional		$125.89	$173.78	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $263.03	Facility		$120.23	$120.23	$263.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $223.87	Professional		$109.65	$154.88	$223.87
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $537.03	Professional		$257.04	$288.40	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $218.78	Facility		$79.43	$102.33	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $158.49	Professional		$72.44	$114.82	$158.49