Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.85 / $265.85 / $586.00	Facility		$265.85	$265.85	$586.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $265.85 / $282.67	Professional		$189.68	$265.85	$282.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.77 / $544.46 / $1,410.64	Facility		$464.77	$544.46	$1,410.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.64 / $241.46 / $643.44	Professional		$230.64	$241.46	$643.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $494.96 / $668.20	Facility		$321.72	$494.96	$668.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $445.46 / $1,059.81	Professional		$321.72	$445.46	$1,059.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $514.83	Facility		$246.11	$246.11	$514.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $314.41	Professional		$179.66	$179.66	$314.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.10 / $246.11	Professional		$179.66	$246.10	$246.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.96 / $288.70 / $378.49	Professional		$209.96	$288.70	$378.49
United Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $222.95 / $311.63	Professional		$145.24	$222.95	$311.63