Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $178.38 / $489.00	Facility		$178.38	$178.38	$489.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $178.38 / $294.95	Professional		$173.86	$178.38	$294.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.04 / $401.85 / $1,041.16	Facility		$343.04	$401.85	$1,041.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $213.85 / $482.22	Professional		$178.21	$213.85	$482.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.99 / $365.32 / $511.45	Facility		$273.99	$365.32	$511.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.72 / $358.03 / $782.22	Professional		$255.72	$358.03	$782.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $467.69	Facility		$228.28	$228.28	$467.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $291.63	Professional		$166.64	$166.64	$291.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $228.28	Professional		$166.64	$228.28	$228.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $213.09 / $279.36	Professional		$154.97	$213.09	$279.36
United Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $182.26 / $280.70	Professional		$121.50	$182.26	$280.70