Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.50 / $253.50 / $603.00	Facility		$253.50	$253.50	$603.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $253.50 / $366.85	Professional		$229.72	$253.50	$366.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.49 / $571.08 / $1,479.61	Facility		$487.49	$571.08	$1,479.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $270.76 / $674.90	Professional		$260.11	$270.76	$674.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.07 / $519.16 / $700.87	Facility		$356.07	$519.16	$700.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.45 / $467.24 / $1,111.63	Professional		$337.45	$467.24	$1,111.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $575.99	Facility		$335.84	$335.84	$575.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $431.67	Professional		$245.16	$245.16	$431.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $335.84 / $335.84	Professional		$245.16	$335.84	$335.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $302.84 / $397.02	Professional		$220.24	$302.84	$397.02
United Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $259.00 / $342.28	Professional		$172.67	$259.00	$342.28