Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.41 / $322.41 / $825.00	Facility		$322.41	$322.41	$825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.99 / $322.41 / $507.72	Professional		$301.99	$322.41	$507.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.02 / $726.33 / $1,881.86	Facility		$620.02	$726.33	$1,881.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.81 / $367.19 / $858.39	Professional		$330.81	$367.19	$858.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.23 / $660.30 / $924.42	Facility		$495.23	$660.30	$924.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.20 / $660.30 / $1,413.83	Professional		$429.20	$660.30	$1,413.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $792.81	Facility		$427.13	$427.13	$792.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $545.66	Professional		$311.80	$311.80	$545.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $427.13 / $427.13	Professional		$311.80	$427.13	$427.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $385.14 / $504.92	Professional		$280.10	$385.14	$504.92
United Facility/Professional Professional Modifier Low / Median / High Price $219.61 / $329.41 / $478.53	Professional		$219.61	$329.41	$478.53