Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $524.81	Facility		$309.03	$309.03	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $512.86	Professional		$263.03	$309.03	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $676.08 / $1,380.38	Facility		$645.65	$676.08	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $812.83	Professional		$316.23	$371.54	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $758.58	Facility		$316.23	$467.74	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $851.14	Professional		$407.38	$562.34	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $407.38	Professional		$295.12	$295.12	$407.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $407.38	Professional		$295.12	$295.12	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $776.25	Professional		$338.84	$537.03	$776.25
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,318.26	Professional		$645.65	$707.95	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $645.65	Facility		$234.42	$416.87	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $426.58	Professional		$208.93	$309.03	$426.58