Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $166.95 / $166.95	Facility		$166.95	$166.95	$166.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $167.32 / $306.75	Professional		$166.95	$167.32	$306.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.58 / $390.83 / $625.32	Facility		$283.58	$390.83	$625.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $295.88 / $502.25	Professional		$251.43	$295.88	$502.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $257.95 / $419.17	Facility		$31.15	$257.95	$419.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $234.50 / $502.11	Professional		$27.24	$234.50	$502.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $422.13	Facility		$204.05	$204.05	$422.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $437.34	Professional		$173.44	$173.44	$437.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.70	Facility		$204.05	$204.05	$273.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $244.85	Professional		$173.44	$204.05	$244.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $347.72 / $501.44	Professional		$278.17	$347.72	$501.44
United Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $143.02 / $248.54	Facility		$18.64	$143.02	$248.54
United Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $183.98 / $278.47	Professional		$111.28	$183.98	$278.47