Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.86 / $261.86 / $261.86	Facility		$261.86	$261.86	$261.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $261.86 / $441.87	Professional		$241.02	$261.86	$441.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.04 / $481.04 / $769.66	Facility		$349.04	$481.04	$769.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $382.50 / $649.24	Professional		$370.70	$382.50	$649.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $49.04 / $491.03	Facility		$38.67	$49.04	$491.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $51.49 / $539.78	Professional		$35.22	$51.49	$539.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $545.65	Facility		$332.93	$332.93	$545.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.99 / $332.93 / $525.00	Professional		$282.99	$332.93	$525.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $357.22	Facility		$332.93	$332.93	$357.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $282.99 / $332.93 / $332.93	Professional		$282.99	$332.93	$332.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.68 / $404.53 / $561.85	Professional		$269.68	$404.53	$561.85
United Facility/Professional Professional Modifier Low / Median / High Price $152.15 / $236.50 / $359.95	Professional		$152.15	$236.50	$359.95