Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $363.08	Facility		$204.17	$281.84	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $302.00	Professional		$151.36	$199.53	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $416.87 / $831.76	Facility		$389.05	$416.87	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $489.78	Professional		$186.21	$218.78	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $416.87	Facility		$173.78	$257.04	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $467.74	Professional		$223.87	$309.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $213.80	Professional		$158.49	$158.49	$213.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $467.74	Facility		$213.80	$213.80	$467.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $213.80	Professional		$158.49	$158.49	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $338.84	Professional		$165.96	$234.42	$338.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $812.83	Professional		$389.05	$436.52	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $398.11	Facility		$144.54	$190.55	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $263.03	Professional		$128.82	$181.97	$263.03