Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $555.72 / $793.33	Facility		$256.08	$555.72	$793.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $256.08 / $326.52	Professional		$255.09	$256.08	$326.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.58 / $439.19 / $729.86	Facility		$276.58	$439.19	$729.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $286.82 / $431.76	Professional		$256.08	$286.82	$431.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.08 / $385.08	Facility		$256.08	$256.08	$385.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $345.72	Professional		$256.08	$256.08	$345.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $249.61 / $256.08	Facility		$241.59	$249.61	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $322.23	Professional		$256.08	$256.08	$322.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $249.61 / $320.45	Facility		$241.59	$249.61	$320.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $362.39	Professional		$256.08	$256.08	$362.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $293.35 / $361.07	Professional		$255.09	$293.35	$361.07
United Facility/Professional Professional Modifier Low / Median / High Price $255.60 / $256.08 / $304.75	Professional		$255.60	$256.08	$304.75