Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $471.09 / $722.91	Facility		$217.09	$471.09	$722.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $277.88	Professional		$217.09	$217.09	$277.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.46 / $372.31 / $618.71	Facility		$234.46	$372.31	$618.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $243.14 / $366.01	Professional		$217.09	$243.14	$366.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $326.25	Facility		$217.09	$217.09	$326.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $293.07	Professional		$217.09	$217.09	$293.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $214.76 / $217.09	Facility		$204.80	$214.76	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $276.48	Professional		$217.09	$217.09	$276.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $214.76 / $217.09	Facility		$204.80	$214.76	$217.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $307.20	Professional		$217.09	$217.09	$307.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $246.97 / $300.66	Professional		$217.09	$246.97	$300.66
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $262.68	Professional		$217.09	$217.09	$262.68