Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.81 / $329.81 / $745.00	Facility		$329.81	$329.81	$745.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $329.81 / $453.75	Professional		$321.45	$329.81	$453.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.25 / $743.00 / $1,925.03	Facility		$634.25	$743.00	$1,925.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $379.03 / $878.08	Professional		$338.42	$379.03	$878.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.59 / $675.45 / $911.86	Facility		$506.59	$675.45	$911.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.42 / $611.20 / $1,446.27	Professional		$441.42	$611.20	$1,446.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $795.83	Facility		$436.96	$436.96	$795.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $558.22	Professional		$318.98	$318.98	$558.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $436.96	Facility		$436.96	$436.96	$436.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $436.96 / $436.96	Professional		$318.98	$436.96	$436.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.54 / $393.99 / $516.53	Professional		$286.54	$393.99	$516.53
United Facility/Professional Professional Modifier Low / Median / High Price $224.65 / $336.97 / $466.85	Professional		$224.65	$336.97	$466.85