Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.80 / $477.14 / $792.96	Facility		$243.80	$477.14	$792.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $272.00 / $566.00	Professional		$250.00	$272.00	$566.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.63 / $450.58 / $740.43	Facility		$278.63	$450.58	$740.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $241.38 / $406.33	Professional		$232.19	$241.38	$406.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $388.00	Facility		$257.99	$257.99	$388.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $348.29	Professional		$257.99	$257.99	$348.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $399.01	Professional		$253.60	$253.60	$399.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $515.52 / $797.48	Facility		$150.30	$515.52	$797.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $414.97	Professional		$253.60	$253.60	$414.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.78 / $322.48 / $374.08	Professional		$283.78	$322.48	$374.08
United Facility/Professional Professional Modifier Low / Median / High Price $245.09 / $271.57 / $333.79	Professional		$245.09	$271.57	$333.79