Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $426.58	Facility		$239.88	$346.74	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $338.84	Professional		$177.83	$229.09	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $977.24	Facility		$457.09	$478.63	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $588.84	Professional		$218.78	$263.03	$588.84
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 / $575.44	Professional		$281.84	$389.05	$575.44
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 $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$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 $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $602.56	Professional		$263.03	$407.38	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $954.99	Professional		$457.09	$512.86	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $467.74	Facility		$169.82	$223.87	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $309.03	Professional		$147.91	$213.80	$309.03