Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.22 / $288.22 / $1,349.00	Facility		$288.22	$288.22	$1,349.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.43 / $288.22 / $366.82	Professional		$258.43	$288.22	$366.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.87 / $590.26 / $1,529.31	Facility		$503.87	$590.26	$1,529.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.77 / $314.12 / $715.47	Professional		$261.77	$314.12	$715.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.45 / $552.70 / $751.24	Facility		$402.45	$552.70	$751.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $536.60 / $1,148.97	Professional		$375.62	$536.60	$1,148.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $838.44	Facility		$347.13	$347.13	$838.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $443.46	Professional		$253.40	$253.40	$443.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $347.13 / $347.13	Professional		$253.40	$347.13	$347.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $312.99 / $410.33	Professional		$227.63	$312.99	$410.33
United Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $267.70 / $409.66	Professional		$178.47	$267.70	$409.66