Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $300.81 / $708.93	Facility		$222.25	$300.81	$708.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $237.10 / $580.90	Professional		$222.25	$237.10	$580.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.03 / $388.16 / $637.86	Facility		$240.03	$388.16	$637.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $222.91 / $398.60	Professional		$188.91	$222.91	$398.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $377.83	Facility		$222.25	$222.25	$377.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $300.04	Professional		$222.25	$222.25	$300.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $399.36	Facility		$209.67	$209.67	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $628.34	Professional		$399.36	$399.36	$628.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,164.66 / $1,164.66 / $9,537.99	Facility		$1,164.66	$1,164.66	$9,537.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $628.34	Professional		$399.36	$399.36	$628.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.81 / $301.43 / $343.79	Professional		$260.81	$301.43	$343.79
United Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $262.26 / $427.88	Professional		$211.14	$262.26	$427.88