Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.67 / $293.67 / $652.00	Facility		$293.67	$293.67	$652.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $293.67 / $312.25	Professional		$229.39	$293.67	$312.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $601.44 / $1,558.27	Facility		$513.41	$601.44	$1,558.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.73 / $289.64 / $710.78	Professional		$266.73	$289.64	$710.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.23 / $546.76 / $738.13	Facility		$357.23	$546.76	$738.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.39 / $492.08 / $1,170.72	Professional		$355.39	$492.08	$1,170.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $625.36	Facility		$297.62	$297.62	$625.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $380.21	Professional		$217.26	$217.26	$380.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $297.62	Professional		$217.26	$297.62	$297.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $318.91 / $418.09	Professional		$231.93	$318.91	$418.09
United Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $257.43 / $358.03	Professional		$178.80	$257.43	$358.03