Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $436.52	Facility		$223.87	$223.87	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $354.81	Professional		$177.83	$229.09	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $1,000.00	Facility		$467.74	$501.19	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $602.56	Professional		$234.42	$275.42	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $489.78	Facility		$204.17	$309.03	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $549.54	Professional		$263.03	$371.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $302.00	Professional		$218.78	$218.78	$302.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $288.40	Professional		$218.78	$218.78	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $407.38	Professional		$199.53	$281.84	$407.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $977.24	Professional		$467.74	$524.81	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $467.74	Facility		$169.82	$309.03	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $316.23	Professional		$154.88	$229.09	$316.23