Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.27 / $524.54 / $736.73	Facility		$194.27	$524.54	$736.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $294.69 / $540.21	Professional		$194.32	$294.69	$540.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.27 / $514.67 / $845.76	Facility		$318.27	$514.67	$845.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $496.84	Professional		$294.69	$294.69	$496.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $294.69 / $500.97	Facility		$294.69	$294.69	$500.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $397.83	Professional		$294.69	$294.69	$397.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $278.01 / $294.69	Facility		$278.01	$278.01	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $600.00	Professional		$294.69	$294.69	$600.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $278.01 / $294.69	Facility		$278.01	$278.01	$294.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $600.00	Professional		$294.69	$294.69	$600.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.90 / $324.15 / $412.56	Professional		$242.90	$324.15	$412.56
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $352.89	Professional		$294.69	$294.69	$352.89