Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $613.00	Facility		$259.82	$259.82	$613.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $259.82 / $408.10	Professional		$250.74	$259.82	$408.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.65 / $585.32 / $1,516.51	Facility		$499.65	$585.32	$1,516.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $301.19 / $691.74	Professional		$266.58	$301.19	$691.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $532.11 / $744.95	Facility		$399.08	$532.11	$744.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.87 / $532.11 / $1,139.34	Professional		$345.87	$532.11	$1,139.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $629.49	Facility		$344.22	$344.22	$629.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $355.54	Professional		$251.28	$251.28	$355.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $344.22	Facility		$344.22	$344.22	$344.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $344.22 / $344.22	Professional		$251.28	$344.22	$344.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.72 / $310.37 / $406.90	Professional		$225.72	$310.37	$406.90
United Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $265.45 / $385.52	Professional		$176.98	$265.45	$385.52