Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.36 / $315.36 / $963.00	Facility		$315.36	$315.36	$963.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $315.36 / $346.86	Professional		$258.45	$315.36	$346.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.32 / $645.85 / $1,673.35	Facility		$551.32	$645.85	$1,673.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $319.31 / $763.28	Professional		$286.43	$319.31	$763.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $499.07 / $499.07 / $499.07	Professional		$499.07	$499.07	$499.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.93 / $587.14 / $792.64	Facility		$410.93	$587.14	$792.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $528.42 / $1,257.18	Professional		$381.64	$528.42	$1,257.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $700.93	Facility		$335.34	$335.34	$700.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $428.40	Professional		$244.80	$244.80	$428.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $335.34	Facility		$335.34	$335.34	$335.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $335.34 / $335.34	Professional		$244.80	$335.34	$335.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.07 / $342.47 / $448.98	Professional		$249.07	$342.47	$448.98
United Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $275.72 / $403.31	Professional		$195.28	$275.72	$403.31