Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $216.16 / $693.00	Facility		$216.16	$216.16	$693.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $216.16 / $265.38	Professional		$199.19	$216.16	$265.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.90 / $442.70 / $1,146.98	Facility		$377.90	$442.70	$1,146.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $234.42 / $528.80	Professional		$196.33	$234.42	$528.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $402.45 / $543.30	Facility		$301.83	$402.45	$543.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $368.71 / $861.73	Professional		$261.58	$368.71	$861.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $519.50	Facility		$252.60	$252.60	$519.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $334.63	Professional		$184.40	$184.40	$334.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $252.60 / $252.60	Professional		$184.40	$252.60	$252.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $234.75 / $307.75	Professional		$170.72	$234.75	$307.75
United Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $198.99 / $291.66	Professional		$133.85	$198.99	$291.66