Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $478.63	Facility		$257.04	$257.04	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $436.52	Professional		$223.87	$269.15	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $1,148.15	Facility		$537.03	$562.34	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $676.08	Professional		$263.03	$316.23	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $645.65	Facility		$269.15	$407.38	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $724.44	Professional		$354.81	$489.78	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $338.84	Professional		$251.19	$251.19	$338.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $338.84	Professional		$251.19	$251.19	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $457.09	Professional		$229.09	$323.59	$457.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,096.48	Professional		$537.03	$602.56	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $575.44	Facility		$223.87	$380.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $389.05	Professional		$173.78	$263.03	$389.05