Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.47 / $256.47 / $312.89	Facility		$256.47	$256.47	$312.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.47 / $256.47 / $290.01	Professional		$256.47	$256.47	$290.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.47 / $729.50 / $1,037.21	Facility		$691.47	$729.50	$1,037.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $366.48 / $1,011.91	Professional		$303.10	$366.48	$1,011.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $460.76 / $486.35	Professional		$439.60	$460.76	$486.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $254.31 / $254.31 / $330.60	Facility		$254.31	$254.31	$330.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $355.00 / $724.33	Facility		$200.00	$355.00	$724.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.40 / $394.40 / $450.00	Professional		$394.40	$394.40	$450.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $427.18 / $885.83	Facility		$300.00	$427.18	$885.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $344.34 / $393.43 / $450.00	Professional		$344.34	$393.43	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.75 / $289.75 / $507.06	Professional		$289.75	$289.75	$507.06
United Facility/Professional Professional Modifier Low / Median / High Price $340.93 / $458.77 / $521.89	Professional		$340.93	$458.77	$521.89