Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.36 / $306.36 / $876.00	Facility		$306.36	$306.36	$876.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.86 / $306.36 / $382.93	Professional		$279.86	$306.36	$382.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.59 / $627.41 / $1,625.58	Facility		$535.59	$627.41	$1,625.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $310.18 / $741.49	Professional		$278.24	$310.18	$741.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.79 / $570.38 / $770.01	Facility		$427.79	$570.38	$770.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.75 / $513.34 / $1,221.30	Professional		$370.75	$513.34	$1,221.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $682.57	Facility		$379.04	$379.04	$682.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $474.25	Professional		$276.70	$276.70	$474.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $379.04 / $379.04	Professional		$276.70	$379.04	$379.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.95 / $332.68 / $436.14	Professional		$241.95	$332.68	$436.14
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $272.67 / $390.75	Professional		$189.70	$272.67	$390.75