Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $378.24 / $485.76	Facility		$153.60	$378.24	$485.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $427.01	Professional		$153.60	$153.60	$427.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $290.02 / $476.80	Facility		$172.80	$290.02	$476.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $277.05	Professional		$160.00	$160.00	$277.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.12 / $231.12 / $392.90	Facility		$231.12	$231.12	$392.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $171.20 / $231.12	Professional		$171.20	$171.20	$231.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $256.77	Professional		$163.19	$163.19	$256.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $256.77	Professional		$163.19	$163.19	$256.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.32 / $214.00 / $248.24	Professional		$188.32	$214.00	$248.24
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $209.60	Professional		$160.00	$160.00	$209.60