Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $719.88 / $924.51	Facility		$292.33	$719.88	$924.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $292.33 / $812.71	Professional		$292.33	$292.33	$812.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.46 / $363.57 / $698.02	Facility		$221.46	$363.57	$698.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $218.59 / $466.57	Professional		$205.06	$218.59	$466.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.15 / $259.52 / $387.52	Facility		$176.15	$259.52	$387.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $488.70	Professional		$310.61	$310.61	$488.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $488.70	Professional		$310.61	$310.61	$488.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $256.32 / $297.33	Professional		$225.56	$256.32	$297.33
United Facility/Professional Professional Modifier Low / Median / High Price $297.73 / $298.30 / $388.39	Professional		$297.73	$298.30	$388.39