Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $555.00	Facility		$212.37	$212.37	$555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $212.37 / $293.93	Professional		$206.99	$212.37	$293.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.41 / $478.43 / $1,239.58	Facility		$408.41	$478.43	$1,239.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $254.61 / $573.46	Professional		$212.18	$254.61	$573.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $434.94 / $587.16	Facility		$326.20	$434.94	$587.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $434.94 / $931.29	Professional		$282.70	$434.94	$931.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $577.59	Facility		$271.77	$271.77	$577.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $347.19	Professional		$198.39	$198.39	$347.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $271.77	Professional		$198.39	$271.77	$271.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $253.69 / $332.59	Professional		$184.50	$253.69	$332.59
United Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $216.98 / $334.37	Professional		$144.66	$216.98	$334.37