Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.61 / $323.61 / $725.00	Facility		$323.61	$323.61	$725.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $323.61 / $467.58	Professional		$264.14	$323.61	$467.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.32 / $729.03 / $1,888.84	Facility		$622.32	$729.03	$1,888.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $332.04 / $861.57	Professional		$323.52	$332.04	$861.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.79 / $662.75 / $894.71	Facility		$430.79	$662.75	$894.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.79 / $596.48 / $1,419.08	Professional		$430.79	$596.48	$1,419.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $689.98	Facility		$393.88	$393.88	$689.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $551.07	Professional		$287.52	$287.52	$551.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $393.88 / $393.88	Professional		$287.52	$393.88	$393.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $386.57 / $506.79	Professional		$281.14	$386.57	$506.79
United Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $330.64 / $420.69	Professional		$220.43	$330.64	$420.69