Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.12 / $274.12 / $274.12	Facility		$274.12	$274.12	$274.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $274.12 / $359.49	Professional		$268.14	$274.12	$359.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $310.39 / $510.60	Professional		$310.37	$310.39	$510.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $51.04 / $459.34	Facility		$43.38	$51.04	$459.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $109.29 / $452.81	Professional		$33.18	$109.29	$452.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $513.76	Facility		$172.77	$172.77	$513.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $592.50	Professional		$146.85	$172.77	$592.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $172.77	Professional		$146.85	$172.77	$172.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $287.49 / $399.30	Professional		$191.66	$287.49	$399.30
United Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $214.81 / $310.37	Professional		$143.19	$214.81	$310.37