Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.80 / $492.00 / $827.50	Facility		$264.80	$492.00	$827.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $264.80 / $477.83	Professional		$128.91	$264.80	$477.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $357.48 / $585.77	Facility		$292.27	$357.48	$585.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $151.88 / $429.63	Professional		$112.54	$151.88	$429.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $430.30 / $546.15	Facility		$331.00	$430.30	$546.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.30 / $446.85 / $794.40	Professional		$430.30	$446.85	$794.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.39 / $340.80 / $1,889.02	Facility		$295.39	$340.80	$1,889.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $178.15 / $640.96	Professional		$85.14	$178.15	$640.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $295.39 / $340.80 / $1,889.02	Facility		$295.39	$340.80	$1,889.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $173.01 / $640.96	Professional		$85.14	$173.01	$640.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.66 / $297.89 / $409.61	Professional		$260.66	$297.89	$409.61
United Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $198.60 / $482.27	Professional		$77.54	$198.60	$482.27