Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $617.36 / $944.56	Facility		$308.68	$617.36	$944.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $309.86 / $703.79	Professional		$306.80	$309.86	$703.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.37 / $496.97 / $771.70	Facility		$333.37	$496.97	$771.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $520.42	Professional		$308.68	$308.68	$520.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $524.76	Facility		$308.68	$308.68	$524.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $416.72	Professional		$308.68	$308.68	$416.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $291.20 / $308.68	Facility		$291.20	$291.20	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $456.09	Professional		$308.68	$308.68	$456.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $293.92 / $293.92 / $293.92	Facility		$293.92	$293.92	$293.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $456.09	Professional		$308.68	$308.68	$456.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $385.85 / $444.86	Professional		$337.48	$385.85	$444.86
United Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $308.68 / $333.87	Professional		$293.94	$308.68	$333.87