Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $446.68 / $1,584.89	Facility		$70.79	$446.68	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $288.40	Professional		$154.88	$194.98	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $537.03	Professional		$186.21	$239.88	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $436.52	Facility		$181.97	$269.15	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $489.78	Professional		$234.42	$323.59	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $275.42	Professional		$234.42	$234.42	$275.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $275.42 / $588.84	Facility		$23.44	$275.42	$588.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Professional		$234.42	$234.42	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $467.74	Professional		$204.17	$316.23	$467.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $870.96	Professional		$416.87	$467.74	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $239.88	Facility		$128.82	$204.17	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $263.03	Professional		$128.82	$199.53	$263.03