Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.75 / $215.75 / $694.00	Facility		$215.75	$215.75	$694.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $215.75 / $279.11	Professional		$198.82	$215.75	$279.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.19 / $441.86 / $1,144.82	Facility		$377.19	$441.86	$1,144.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $235.15 / $530.23	Professional		$195.96	$235.15	$530.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.27 / $401.69 / $562.37	Facility		$301.27	$401.69	$562.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.10 / $401.69 / $860.10	Professional		$261.10	$401.69	$860.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $522.45	Facility		$251.00	$251.00	$522.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $320.64	Professional		$183.23	$183.23	$320.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $251.00	Professional		$183.23	$251.00	$251.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $234.31 / $307.18	Professional		$170.40	$234.31	$307.18
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $200.40 / $301.57	Professional		$133.60	$200.40	$301.57