Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.96 / $196.96 / $442.00	Facility		$196.96	$196.96	$442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $196.96 / $241.26	Professional		$168.78	$196.96	$241.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.76 / $443.70 / $1,149.58	Facility		$378.76	$443.70	$1,149.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.77 / $214.69 / $524.36	Professional		$196.77	$214.69	$524.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $403.36 / $544.54	Facility		$284.83	$403.36	$544.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.18 / $363.02 / $863.67	Professional		$262.18	$363.02	$863.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $429.41	Facility		$271.68	$271.68	$429.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $335.39	Professional		$198.33	$198.33	$335.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $271.68	Professional		$198.33	$271.68	$271.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $235.27 / $308.45	Professional		$171.11	$235.27	$308.45
United Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $201.23 / $292.33	Professional		$134.16	$201.23	$292.33