Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $346.74	Facility		$269.15	$269.15	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $354.81	Professional		$181.97	$251.19	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,230.27	Facility		$575.44	$602.56	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $724.44	Professional		$257.04	$331.13	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $501.19	Facility		$208.93	$316.23	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $562.34	Professional		$269.15	$380.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $281.84	Professional		$263.03	$263.03	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $489.78	Professional		$239.88	$338.84	$489.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,174.90	Professional		$575.44	$630.96	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $478.63	Facility		$190.55	$316.23	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $354.81	Professional		$173.78	$269.15	$354.81