Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $467.92 / $844.36	Facility		$467.92	$467.92	$844.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $467.92 / $701.88	Professional		$368.49	$467.92	$701.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.47 / $643.39 / $1,035.09	Facility		$516.47	$643.39	$1,035.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $800.00	Professional		$288.83	$288.83	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.15 / $614.15 / $877.35	Facility		$462.15	$614.15	$877.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $760.37 / $1,403.76	Professional		$497.17	$760.37	$1,403.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.22 / $2,217.76	Facility		$380.19	$602.22	$2,217.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $512.47 / $1,133.07	Professional		$297.36	$512.47	$1,133.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.22 / $2,261.78	Facility		$380.19	$602.22	$2,261.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $380.19 / $1,133.07	Professional		$297.36	$380.19	$1,133.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $504.48 / $701.88	Professional		$438.68	$504.48	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $852.20	Professional		$245.66	$350.94	$852.20