Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $335.98 / $583.78	Facility		$216.07	$335.98	$583.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $496.00	Professional		$275.39	$275.39	$496.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $891.00	Facility		$0.02	$0.03	$891.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $275.39 / $436.92	Professional		$270.39	$275.39	$436.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.02 / $390.02 / $663.03	Facility		$390.02	$390.02	$663.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $288.89 / $390.02	Professional		$275.39	$288.89	$390.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $475.79	Professional		$302.39	$302.39	$475.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $314.35 / $314.35 / $314.35	Facility		$314.35	$314.35	$314.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $475.79	Professional		$302.39	$302.39	$475.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $577.79 / $612.46	Professional		$404.46	$577.79	$612.46
United Facility/Professional Professional Modifier Low / Median / High Price $234.97 / $284.44 / $324.02	Professional		$234.97	$284.44	$324.02