Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.91 / $256.91 / $256.91	Facility		$256.91	$256.91	$256.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.12 / $256.91 / $383.81	Professional		$249.12	$256.91	$383.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $302.25 / $790.81	Professional		$271.20	$302.25	$790.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $52.41 / $378.00	Facility		$36.09	$52.41	$378.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $53.68 / $379.43	Professional		$36.09	$53.68	$379.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $466.38	Facility		$256.50	$256.50	$466.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $256.50 / $543.75	Professional		$218.03	$256.50	$543.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $386.04	Facility		$256.50	$256.50	$386.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $386.04	Professional		$35.83	$256.50	$386.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $252.00 / $350.00	Professional		$168.00	$252.00	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $198.46 / $269.86	Professional		$122.13	$198.46	$269.86