Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $539.25 / $772.84	Facility		$248.50	$539.25	$772.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $318.08	Professional		$248.50	$248.50	$318.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.38 / $426.18 / $708.23	Facility		$268.38	$426.18	$708.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $278.32 / $418.97	Professional		$248.50	$278.32	$418.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $373.41	Facility		$248.50	$248.50	$373.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $335.48	Professional		$248.50	$248.50	$335.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $243.63 / $248.50	Facility		$234.43	$243.63	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $315.23	Professional		$248.50	$248.50	$315.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $243.63 / $313.88	Facility		$234.43	$243.63	$313.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $351.65	Professional		$248.50	$248.50	$351.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $280.17 / $351.33	Professional		$243.63	$280.17	$351.33
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $293.23	Professional		$248.50	$248.50	$293.23