Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.10 / $469.10 / $469.10	Facility		$469.10	$469.10	$469.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.88 / $469.10 / $597.03	Professional		$458.88	$469.10	$597.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.96 / $375.00 / $867.25	Professional		$363.96	$375.00	$867.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $84.77 / $838.15	Facility		$59.63	$84.77	$838.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $87.34 / $842.97	Professional		$56.77	$87.34	$842.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $825.43	Facility		$232.12	$232.12	$825.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $232.12 / $911.25	Professional		$197.30	$232.12	$911.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $258.57	Facility		$232.12	$232.12	$258.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $232.12 / $232.12	Professional		$197.30	$232.12	$232.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $99.90 / $686.86	Professional		$46.83	$99.90	$686.86
United Facility/Professional Professional Modifier Low / Median / High Price $224.77 / $336.23 / $488.43	Professional		$224.77	$336.23	$488.43