Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $448.30 / $687.95	Facility		$206.59	$448.30	$687.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $208.68 / $516.48	Professional		$206.59	$208.68	$516.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.12 / $332.61 / $516.48	Facility		$223.12	$332.61	$516.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $348.31	Professional		$206.59	$206.59	$348.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $351.20	Facility		$206.59	$206.59	$351.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $278.89	Professional		$206.59	$206.59	$278.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $194.90 / $206.59	Facility		$194.90	$194.90	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $309.54	Professional		$206.59	$206.59	$309.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $201.64 / $201.64 / $201.64	Facility		$201.64	$201.64	$201.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $309.54	Professional		$206.59	$206.59	$309.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $258.27 / $299.55	Professional		$227.24	$258.27	$299.55
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $287.39	Professional		$206.59	$206.59	$287.39