Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $513.47 / $808.00	Facility		$236.62	$513.47	$808.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $302.87	Professional		$236.62	$236.62	$302.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.55 / $405.80 / $674.37	Facility		$255.55	$405.80	$674.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $265.01 / $395.81	Professional		$236.62	$265.01	$395.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $355.91	Facility		$236.62	$236.62	$355.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $319.44	Professional		$236.62	$236.62	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $233.12 / $236.62	Facility		$223.22	$233.12	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $301.35	Professional		$236.62	$236.62	$301.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $233.12 / $300.72	Facility		$223.22	$233.12	$300.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $334.83	Professional		$236.62	$236.62	$334.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $268.08 / $336.18	Professional		$233.12	$268.08	$336.18
United Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $236.62 / $281.58	Professional		$236.17	$236.62	$281.58