Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $601.60 / $985.60	Facility		$256.00	$601.60	$985.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $256.00 / $461.95	Professional		$224.00	$256.00	$461.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.56 / $345.60 / $566.29	Facility		$282.56	$345.60	$566.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $160.00 / $512.16	Professional		$128.00	$160.00	$512.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $400.00 / $480.00	Facility		$320.00	$400.00	$480.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $432.00 / $768.00	Professional		$416.00	$432.00	$768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $364.00 / $1,826.24	Facility		$329.26	$364.00	$1,826.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $187.20 / $696.51	Professional		$146.44	$187.20	$696.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $364.00 / $1,826.24	Facility		$329.26	$364.00	$1,826.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $187.20 / $696.51	Professional		$146.44	$187.20	$696.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $288.00 / $396.00	Professional		$252.00	$288.00	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $192.00 / $422.62	Professional		$134.40	$192.00	$422.62