Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Facility		$258.39	$258.39	$258.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $258.39 / $258.39	Professional		$247.40	$258.39	$258.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $274.26 / $420.55	Professional		$261.20	$274.26	$420.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.13 / $519.75 / $826.88	Facility		$307.13	$519.75	$826.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $401.63 / $496.13	Professional		$307.13	$401.63	$496.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $170.83 / $170.83	Facility		$64.00	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $145.21 / $170.83	Professional		$145.21	$145.21	$170.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Professional		$170.83	$170.83	$170.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $455.00 / $825.54	Professional		$262.50	$455.00	$825.54