Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.18 / $310.18 / $945.00	Facility		$310.18	$310.18	$945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $310.18 / $359.72	Professional		$274.14	$310.18	$359.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.27 / $635.25 / $1,645.88	Facility		$542.27	$635.25	$1,645.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $327.32 / $750.75	Professional		$281.72	$327.32	$750.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.13 / $577.50 / $789.04	Facility		$433.13	$577.50	$789.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $577.50 / $1,236.54	Professional		$404.25	$577.50	$1,236.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $770.54	Facility		$373.57	$373.57	$770.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $373.57	Professional		$272.70	$272.70	$373.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $373.57 / $373.57	Professional		$272.70	$373.57	$373.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $336.84 / $441.59	Professional		$244.97	$336.84	$441.59
United Facility/Professional Facility Modifier Low / Median / High Price $177.61 / $276.36 / $462.00	Facility		$177.61	$276.36	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $279.12 / $418.52	Professional		$192.07	$279.12	$418.52