Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.55 / $531.91 / $764.55	Facility		$253.55	$531.91	$764.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $330.00 / $697.24	Professional		$275.00	$330.00	$697.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.93 / $546.48 / $898.02	Facility		$337.93	$546.48	$898.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $280.08 / $508.64	Professional		$280.08	$280.08	$508.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $312.89 / $472.48	Facility		$312.89	$312.89	$472.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $422.42	Professional		$312.89	$312.89	$422.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $460.92	Professional		$307.55	$307.55	$460.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $538.44 / $761.55	Facility		$153.43	$538.44	$761.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $773.64	Professional		$307.55	$307.55	$773.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $391.12 / $453.70	Professional		$344.19	$391.12	$453.70
United Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $324.02 / $364.39	Professional		$274.08	$324.02	$364.39