Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.43 / $235.43 / $687.00	Facility		$235.43	$235.43	$687.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.56 / $235.43 / $365.77	Professional		$217.56	$235.43	$365.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.74 / $530.37 / $1,374.13	Facility		$452.74	$530.37	$1,374.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.55 / $263.79 / $626.79	Professional		$241.55	$263.79	$626.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.61 / $482.15 / $650.90	Facility		$361.61	$482.15	$650.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.39 / $433.94 / $1,032.38	Professional		$313.39	$433.94	$1,032.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $579.75	Facility		$274.54	$274.54	$579.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $400.90	Professional		$200.41	$200.41	$400.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.54 / $274.54	Professional		$200.41	$274.54	$274.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $281.22 / $368.68	Professional		$204.52	$281.22	$368.68
United Facility/Professional Professional Modifier Low / Median / High Price $160.36 / $240.54 / $334.51	Professional		$160.36	$240.54	$334.51