Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $202.51 / $577.00	Facility		$202.51	$202.51	$577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $202.51 / $224.07	Professional		$176.34	$202.51	$224.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.04 / $414.74 / $1,074.56	Facility		$354.04	$414.74	$1,074.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $208.13 / $490.15	Professional		$183.93	$208.13	$490.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.61 / $377.04 / $509.00	Facility		$274.61	$377.04	$509.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $339.34 / $807.32	Professional		$245.08	$339.34	$807.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $449.11	Facility		$243.89	$243.89	$449.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $313.50	Professional		$178.04	$178.04	$313.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $207.63 / $243.89	Professional		$178.04	$207.63	$243.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.95 / $219.93 / $288.33	Professional		$159.95	$219.93	$288.33
United Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $178.99 / $267.14	Professional		$125.40	$178.99	$267.14