Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.51 / $279.51 / $279.51	Facility		$279.51	$279.51	$279.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.51 / $285.60 / $400.78	Professional		$279.51	$285.60	$400.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $303.10 / $700.87	Professional		$290.10	$303.10	$700.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $52.34 / $529.94	Facility		$38.45	$52.34	$529.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $57.90 / $613.13	Professional		$39.26	$57.90	$613.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $382.81 / $517.83	Facility		$264.39	$382.81	$517.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $611.25	Professional		$325.39	$382.81	$611.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $382.81 / $382.81	Facility		$264.39	$382.81	$382.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $382.81	Professional		$325.39	$382.81	$382.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $80.73 / $555.09	Professional		$37.84	$80.73	$555.09
United Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $228.84 / $307.70	Professional		$144.36	$228.84	$307.70