Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $238.92 / $238.92	Facility		$238.92	$238.92	$238.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $238.92 / $376.93	Professional		$233.70	$238.92	$376.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $314.11 / $516.71	Professional		$312.39	$314.11	$516.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $44.48 / $376.18	Facility		$33.36	$44.48	$376.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $46.70 / $376.18	Professional		$28.92	$46.70	$376.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $494.74	Facility		$38.92	$219.78	$494.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $186.81 / $646.88	Professional		$186.81	$186.81	$646.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $219.78	Facility		$38.92	$219.78	$219.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $219.78 / $219.78	Professional		$35.88	$219.78	$219.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $250.78 / $348.31	Professional		$167.19	$250.78	$348.31
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $219.30 / $314.11	Professional		$146.66	$219.30	$314.11