Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $169.90 / $1,012.00	Facility		$169.90	$169.90	$1,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $183.09 / $287.17	Professional		$169.90	$183.09	$287.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.76 / $349.99 / $906.78	Facility		$298.76	$349.99	$906.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $327.38 / $540.88	Professional		$269.02	$327.38	$540.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.63 / $318.58 / $445.44	Facility		$238.63	$318.58	$445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $318.17 / $681.27	Professional		$222.72	$318.17	$681.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $436.67	Facility		$382.03	$382.03	$436.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $426.00	Professional		$278.88	$278.88	$426.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $382.03	Professional		$278.88	$382.03	$382.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $341.00 / $447.05	Professional		$248.00	$341.00	$447.05
United Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $269.61 / $402.76	Professional		$181.88	$269.61	$402.76