Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $499.43 / $33,591.60	Facility		$230.15	$499.43	$33,591.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $495.15	Professional		$230.15	$232.46	$495.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.56 / $370.54 / $575.38	Facility		$248.56	$370.54	$575.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $388.03	Professional		$230.15	$230.15	$388.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $230.15 / $391.26	Facility		$230.15	$230.15	$391.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $310.70	Professional		$230.15	$230.15	$310.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $230.15	Facility		$217.13	$217.13	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $341.77	Professional		$230.15	$230.15	$341.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.93 / $223.52 / $223.52	Facility		$121.93	$223.52	$223.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $341.77	Professional		$230.15	$230.15	$341.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $287.82 / $333.71	Professional		$253.16	$287.82	$333.71
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $248.93	Professional		$230.15	$230.15	$248.93