Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $338.84 / $346.74	Facility		$100.00	$338.84	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $131.83	Facility		$87.10	$120.23	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $190.55	Professional		$100.00	$120.23	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $144.54	Professional		$100.00	$100.00	$144.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $173.78	Professional		$100.00	$100.00	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $147.91	Professional		$87.10	$112.20	$147.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Facility		$134.90	$144.54	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $269.15	Professional		$97.72	$134.90	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $165.96	Professional		$104.71	$125.89	$165.96