Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.13 / $296.13 / $296.13	Facility		$296.13	$296.13	$296.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $296.13 / $439.68	Professional		$288.17	$296.13	$439.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.99 / $693.21 / $1,109.14	Facility		$502.99	$693.21	$1,109.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.75 / $488.55 / $829.34	Professional		$430.75	$488.55	$829.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $436.73 / $692.15	Facility		$54.37	$436.73	$692.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $415.93 / $854.97	Professional		$47.14	$415.93	$854.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $697.01	Facility		$354.55	$354.55	$697.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $354.55 / $617.63	Professional		$301.37	$354.55	$617.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $465.35	Facility		$354.55	$354.55	$465.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $354.55 / $465.35	Professional		$354.55	$354.55	$465.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $459.32 / $574.16 / $827.99	Professional		$459.32	$574.16	$827.99
United Facility/Professional Professional Modifier Low / Median / High Price $193.11 / $307.79 / $482.78	Professional		$193.11	$307.79	$482.78