Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.62 / $313.62 / $313.62	Facility		$313.62	$313.62	$313.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $313.62 / $483.83	Professional		$306.77	$313.62	$483.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.59 / $729.86 / $1,167.78	Facility		$529.59	$729.86	$1,167.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.75 / $328.78 / $759.05	Professional		$250.75	$328.78	$759.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $422.69 / $642.28	Facility		$50.44	$422.69	$642.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $394.15 / $721.25	Professional		$50.44	$394.15	$721.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $741.89	Facility		$234.00	$234.00	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $966.09	Professional		$198.90	$198.90	$966.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $388.39	Professional		$234.00	$234.00	$388.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.97 / $417.47 / $602.03	Professional		$333.97	$417.47	$602.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $288.70 / $423.15	Professional		$194.20	$288.70	$423.15