Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.57 / $267.57 / $536.00	Facility		$267.57	$267.57	$536.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $267.57 / $355.09	Professional		$226.72	$267.57	$355.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $602.78 / $1,561.74	Facility		$514.54	$602.78	$1,561.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.11 / $274.55 / $712.37	Professional		$262.11	$274.55	$712.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.19 / $547.98 / $739.77	Facility		$356.19	$547.98	$739.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.19 / $493.18 / $1,173.33	Professional		$356.19	$493.18	$1,173.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $571.03	Facility		$366.26	$366.26	$571.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $455.64	Professional		$267.37	$267.37	$455.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $366.26	Professional		$267.37	$366.26	$366.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $319.64 / $419.05	Professional		$232.47	$319.64	$419.05
United Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $273.38 / $345.30	Professional		$181.43	$273.38	$345.30