Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $292.39 / $292.39	Facility		$292.39	$292.39	$292.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.17 / $292.39 / $394.79	Professional		$273.17	$292.39	$394.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.66 / $684.49 / $1,095.18	Facility		$496.66	$684.49	$1,095.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $260.64 / $692.00	Professional		$18.13	$260.64	$692.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $386.05 / $578.62	Facility		$45.45	$386.05	$578.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $368.85 / $676.38	Professional		$43.41	$368.85	$676.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $611.88	Facility		$347.16	$347.16	$611.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $641.25	Professional		$295.08	$347.16	$641.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Facility		$347.16	$347.16	$455.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Professional		$347.16	$347.16	$455.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.96 / $413.70 / $596.59	Professional		$330.96	$413.70	$596.59
United Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $272.95 / $389.16	Professional		$170.15	$272.95	$389.16