Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.93 / $276.93 / $276.93	Facility		$276.93	$276.93	$276.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $276.93 / $494.78	Professional		$269.88	$276.93	$494.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.87 / $545.58 / $872.92	Facility		$395.87	$545.58	$872.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $439.20 / $741.98	Professional		$392.98	$439.20	$741.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $55.98 / $551.98	Facility		$41.39	$55.98	$551.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $55.98 / $592.14	Professional		$38.90	$55.98	$592.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $327.62 / $626.45	Facility		$197.11	$327.62	$626.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $278.48 / $551.25	Professional		$202.04	$278.48	$551.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $406.67	Facility		$327.62	$327.62	$406.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $327.62 / $327.62	Professional		$278.48	$327.62	$327.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.61 / $464.41 / $645.02	Professional		$309.61	$464.41	$645.02
United Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $246.08 / $413.26	Professional		$151.43	$246.08	$413.26