Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.41 / $302.41 / $907.00	Facility		$302.41	$302.41	$907.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.85 / $302.41 / $377.58	Professional		$241.85	$302.41	$377.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.69 / $619.34 / $1,604.66	Facility		$528.69	$619.34	$1,604.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $307.63 / $739.83	Professional		$274.67	$307.63	$739.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.43 / $563.04 / $760.10	Facility		$398.43	$563.04	$760.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $506.74 / $1,205.58	Professional		$365.98	$506.74	$1,205.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $672.87	Facility		$313.79	$313.79	$672.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $400.87	Professional		$229.07	$229.07	$400.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $313.79	Professional		$229.07	$313.79	$313.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $328.42 / $430.56	Professional		$238.85	$328.42	$430.56
United Facility/Professional Professional Modifier Low / Median / High Price $187.26 / $267.30 / $377.01	Professional		$187.26	$267.30	$377.01