Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.93 / $205.93 / $611.00	Facility		$205.93	$205.93	$611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.18 / $205.93 / $218.95	Professional		$186.18	$205.93	$218.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.01 / $421.74 / $1,092.69	Facility		$360.01	$421.74	$1,092.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $208.51 / $498.42	Professional		$187.04	$208.51	$498.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.55 / $383.40 / $517.59	Facility		$287.55	$383.40	$517.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $345.06 / $820.94	Professional		$249.21	$345.06	$820.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $454.25	Facility		$215.87	$215.87	$454.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $256.18	Professional		$157.59	$157.59	$256.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $215.87 / $215.87	Professional		$157.59	$215.87	$215.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $223.63 / $293.17	Professional		$162.63	$223.63	$293.17
United Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $182.75 / $259.69	Professional		$127.40	$182.75	$259.69