Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.53 / $245.53 / $741.00	Facility		$245.53	$245.53	$741.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $245.53 / $265.36	Professional		$204.61	$245.53	$265.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.24 / $502.83 / $1,302.79	Facility		$429.24	$502.83	$1,302.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $247.97 / $594.25	Professional		$223.00	$247.97	$594.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.84 / $457.12 / $617.11	Facility		$342.84	$457.12	$617.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $416.71 / $978.79	Professional		$300.95	$416.71	$978.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $542.59	Facility		$295.70	$295.70	$542.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $377.77	Professional		$215.87	$215.87	$377.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $295.70 / $295.70	Professional		$215.87	$295.70	$295.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $266.64 / $349.56	Professional		$193.92	$266.64	$349.56
United Facility/Professional Facility Modifier Low / Median / High Price $133.75 / $208.12 / $365.70	Facility		$133.75	$208.12	$365.70
United Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $217.02 / $316.31	Professional		$152.04	$217.02	$316.31