Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $645.65	Facility		$346.74	$346.74	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $588.84	Professional		$302.00	$371.54	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $1,548.82	Facility		$724.44	$758.58	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $933.25	Professional		$354.81	$436.52	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $851.14	Facility		$354.81	$537.03	$851.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $954.99	Professional		$457.09	$630.96	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,479.11	Professional		$724.44	$812.83	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $537.03 / $812.83	Facility		$295.12	$537.03	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $549.54	Professional		$234.42	$354.81	$549.54