Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $891.25	Facility		$512.86	$602.56	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $630.96	Professional		$331.13	$457.09	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $2,089.30	Facility		$977.24	$1,023.29	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,230.27	Professional		$467.74	$549.54	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $912.01	Facility		$380.19	$575.44	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,023.29	Professional		$501.19	$691.83	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,071.52	Facility		$549.54	$549.54	$1,071.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $512.86	Professional		$398.11	$398.11	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $831.76	Professional		$416.87	$575.44	$831.76
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,995.26	Professional		$977.24	$1,096.48	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $891.25	Facility		$316.23	$426.58	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $602.56	Professional		$295.12	$436.52	$602.56