Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.11 / $231.11 / $498.00	Facility		$231.11	$231.11	$498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $231.11 / $287.54	Professional		$195.19	$231.11	$287.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.43 / $520.63 / $1,348.91	Facility		$444.43	$520.63	$1,348.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $240.07 / $615.29	Professional		$230.88	$240.07	$615.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $473.30 / $638.96	Facility		$307.64	$473.30	$638.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $425.97 / $1,013.43	Professional		$307.64	$425.97	$1,013.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $513.34	Facility		$306.16	$306.16	$513.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $391.12	Professional		$223.50	$223.50	$391.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $306.16 / $306.16	Professional		$223.50	$306.16	$306.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.76 / $276.05 / $361.90	Professional		$200.76	$276.05	$361.90
United Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $236.12 / $306.01	Professional		$157.41	$236.12	$306.01