Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $210.44 / $403.00	Facility		$210.44	$210.44	$403.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $210.44 / $250.06	Professional		$199.02	$210.44	$250.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $474.08 / $1,228.29	Facility		$404.69	$474.08	$1,228.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $217.64 / $560.27	Professional		$214.95	$217.64	$560.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $430.98 / $581.82	Facility		$304.22	$430.98	$581.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $387.88 / $922.81	Professional		$280.14	$387.88	$922.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $458.98	Facility		$297.81	$297.81	$458.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $358.35	Professional		$217.40	$217.40	$358.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $297.81	Professional		$217.40	$297.81	$297.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $251.38 / $329.56	Professional		$182.82	$251.38	$329.56
United Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $215.01 / $275.29	Professional		$143.34	$215.01	$275.29