Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.61 / $308.61 / $308.61	Facility		$308.61	$308.61	$308.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $308.61 / $530.15	Professional		$289.17	$308.61	$530.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.19 / $722.43 / $1,155.88	Facility		$524.19	$722.43	$1,155.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.28 / $462.40 / $784.84	Professional		$437.28	$462.40	$784.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $433.45 / $655.04	Facility		$53.58	$433.45	$655.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $417.61 / $809.13	Professional		$48.22	$417.61	$809.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $659.63	Facility		$358.71	$358.71	$659.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $612.38	Professional		$304.89	$358.71	$612.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $432.14	Facility		$358.71	$358.71	$432.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $358.71 / $358.71	Professional		$358.71	$358.71	$358.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $434.68 / $543.36 / $783.57	Professional		$434.68	$543.36	$783.57
United Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $242.73 / $427.53	Facility		$31.56	$242.73	$427.53
United Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $304.99 / $489.35	Professional		$195.74	$304.99	$489.35