Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $457.09	Facility		$263.03	$263.03	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $588.84 / $1,174.90	Facility		$549.54	$588.84	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $707.95	Professional		$275.42	$363.08	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $660.69	Facility		$275.42	$407.38	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $741.31	Professional		$354.81	$489.78	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Professional		$331.13	$331.13	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $354.81	Professional		$331.13	$331.13	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $575.44	Professional		$281.84	$398.11	$575.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $1,148.15	Professional		$549.54	$616.60	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $363.08 / $562.34	Facility		$204.17	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $371.54	Professional		$181.97	$269.15	$371.54