Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $210.32 / $210.32	Facility		$210.32	$210.32	$210.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $210.32 / $275.80	Professional		$174.90	$210.32	$275.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $168.10 / $388.75	Professional		$142.91	$168.10	$388.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $39.15 / $330.91	Facility		$29.96	$39.15	$330.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $83.85 / $330.91	Professional		$25.45	$83.85	$330.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $370.20	Facility		$240.50	$240.50	$370.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $240.50 / $386.25	Professional		$204.43	$240.50	$386.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $240.50 / $240.50	Professional		$204.43	$240.50	$240.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $220.60 / $306.39	Professional		$147.07	$220.60	$306.39
United Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $150.88 / $251.30	Professional		$106.18	$150.88	$251.30