Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.34 / $133.34 / $740.00	Facility		$133.34	$133.34	$740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $149.22 / $232.70	Professional		$133.34	$149.22	$232.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.48 / $274.68 / $711.67	Facility		$234.48	$274.68	$711.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $266.83 / $428.37	Professional		$214.67	$266.83	$428.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.28 / $250.04 / $349.59	Facility		$187.28	$250.04	$349.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $249.71 / $534.67	Professional		$174.80	$249.71	$534.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $342.71	Facility		$312.30	$312.30	$342.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $334.50	Professional		$227.98	$227.98	$334.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $312.30	Professional		$227.98	$312.30	$312.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $264.00 / $346.10	Professional		$192.00	$264.00	$346.10
United Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $216.14 / $329.43	Professional		$148.24	$216.14	$329.43