Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.11 / $207.11 / $592.00	Facility		$207.11	$207.11	$592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $207.11 / $243.10	Professional		$161.94	$207.11	$243.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.08 / $424.16 / $1,098.96	Facility		$362.08	$424.16	$1,098.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $188.11 / $501.28	Professional		$169.35	$188.11	$501.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.64 / $385.60 / $520.55	Facility		$250.64	$385.60	$520.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $347.04 / $825.65	Professional		$250.64	$347.04	$825.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $403.47	Facility		$180.71	$180.71	$403.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $230.86	Professional		$131.91	$131.91	$230.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $180.71	Professional		$131.91	$180.71	$180.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $224.92 / $294.88	Professional		$163.58	$224.92	$294.88
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $188.44 / $244.76	Professional		$120.23	$188.44	$244.76