Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.16 / $215.16 / $215.16	Facility		$215.16	$215.16	$215.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $215.16 / $300.58	Professional		$182.43	$215.16	$300.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $355.00 / $568.16	Professional		$355.00	$355.00	$568.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $74.67 / $746.74	Facility		$32.31	$74.67	$746.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $78.40 / $774.72	Professional		$48.53	$78.40	$774.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $199.24 / $480.94	Facility		$199.24	$199.24	$480.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $614.05	Professional		$354.68	$354.68	$614.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $199.24 / $199.24	Facility		$199.24	$199.24	$199.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $354.68	Professional		$354.68	$354.68	$354.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $63.60 / $636.11	Professional		$55.31	$63.60	$636.11
United Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $255.79 / $371.28	Professional		$186.22	$255.79	$371.28