Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $691.21 / $987.18	Facility		$318.52	$691.21	$987.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $318.52 / $406.30	Professional		$317.42	$318.52	$406.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.01 / $546.28 / $907.81	Facility		$344.01	$546.28	$907.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $363.12 / $537.04	Professional		$318.52	$363.12	$537.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $525.57	Facility		$318.52	$318.52	$525.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $430.02	Professional		$318.52	$318.52	$430.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $313.00 / $318.52	Facility		$300.50	$313.00	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $405.00	Professional		$318.52	$318.52	$405.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $313.00 / $401.65	Facility		$300.50	$313.00	$401.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $450.75	Professional		$318.52	$318.52	$450.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $375.60 / $445.94	Professional		$317.42	$375.60	$445.94
United Facility/Professional Professional Modifier Low / Median / High Price $302.60 / $318.52 / $374.18	Professional		$302.60	$318.52	$374.18