Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $416.87	Facility		$239.88	$239.88	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $407.38	Professional		$208.93	$245.47	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $1,071.52	Facility		$501.19	$537.03	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $660.69	Professional		$213.80	$288.40	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $602.56	Facility		$251.19	$371.54	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $676.08	Professional		$323.59	$446.68	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $616.60	Professional		$269.15	$426.58	$616.60
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $1,047.13	Professional		$501.19	$562.34	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $512.86	Facility		$186.21	$331.13	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $338.84	Professional		$165.96	$245.47	$338.84