Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $407.38	Facility		$229.09	$331.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $331.13	Professional		$169.82	$223.87	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $933.25	Facility		$436.52	$457.09	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $562.34	Professional		$208.93	$251.19	$562.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Facility		$213.80	$323.59	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $588.84	Professional		$281.84	$389.05	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $588.84	Facility		$251.19	$251.19	$588.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $537.03	Professional		$234.42	$371.54	$537.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $912.01	Professional		$436.52	$489.78	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $446.68	Facility		$147.91	$208.93	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $295.12	Professional		$141.25	$204.17	$295.12