Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.91 / $363.91 / $882.00	Facility		$363.91	$363.91	$882.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.47 / $363.91 / $444.41	Professional		$322.47	$363.91	$444.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.83 / $819.82 / $2,124.08	Facility		$699.83	$819.82	$2,124.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.39 / $401.80 / $968.87	Professional		$373.39	$401.80	$968.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $493.22 / $745.29 / $1,006.14	Facility		$493.22	$745.29	$1,006.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $670.76 / $1,595.81	Professional		$484.44	$670.76	$1,595.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $843.44	Facility		$410.92	$410.92	$843.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $524.95	Professional		$299.97	$299.97	$524.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $410.92	Professional		$299.97	$410.92	$410.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $438.64 / $575.06	Professional		$319.01	$438.64	$575.06
United Facility/Professional Professional Modifier Low / Median / High Price $247.88 / $371.81 / $505.56	Professional		$247.88	$371.81	$505.56