Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $528.63 / $756.20	Facility		$243.61	$528.63	$756.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $311.23	Professional		$243.61	$243.61	$311.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.10 / $406.83 / $694.29	Facility		$263.10	$406.83	$694.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $386.48	Professional		$243.61	$243.61	$386.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $243.61 / $353.23	Facility		$196.44	$243.61	$353.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.53 / $243.61 / $255.79	Professional		$170.53	$243.61	$255.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $238.54 / $243.61	Facility		$229.82	$238.54	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $280.63	Professional		$243.61	$243.61	$280.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $238.54 / $243.61	Facility		$238.54	$238.54	$243.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $280.63	Professional		$243.61	$243.61	$280.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $267.46 / $351.31	Professional		$235.77	$267.46	$351.31
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $280.63	Professional		$97.44	$243.61	$280.63