Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.19 / $336.19 / $336.19	Facility		$336.19	$336.19	$336.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.85 / $336.19 / $440.87	Professional		$328.85	$336.19	$440.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.72 / $782.41 / $1,251.85	Facility		$567.72	$782.41	$1,251.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $380.80 / $795.84	Professional		$380.78	$380.80	$795.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $441.28 / $625.92	Facility		$53.20	$441.28	$625.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $406.85 / $665.93	Professional		$46.94	$406.85	$665.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $733.51	Facility		$353.90	$353.90	$733.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $907.03	Professional		$300.82	$300.82	$907.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Facility		$353.90	$353.90	$353.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $353.90 / $353.90	Professional		$300.82	$353.90	$353.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $447.52 / $645.36	Professional		$358.01	$447.52	$645.36
United Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $294.67 / $397.32	Professional		$204.51	$294.67	$397.32