Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.53 / $365.53 / $829.00	Facility		$365.53	$365.53	$829.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.53 / $375.00 / $549.44	Professional		$365.53	$375.00	$549.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $364.70 / $727.71	Professional		$364.68	$364.70	$727.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $68.45 / $634.50	Facility		$49.80	$68.45	$634.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $66.62 / $634.50	Professional		$44.50	$66.62	$634.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $743.22	Facility		$316.74	$316.74	$743.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $269.23 / $791.25	Professional		$269.23	$269.23	$791.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $420.04	Facility		$316.74	$316.74	$420.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $316.74 / $316.74	Professional		$269.23	$316.74	$316.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $77.55 / $517.00	Professional		$35.25	$77.55	$517.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $279.17 / $426.74	Professional		$176.84	$279.17	$426.74