Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.78 / $210.78 / $587.00	Facility		$210.78	$210.78	$587.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $210.78 / $330.65	Professional		$205.44	$210.78	$330.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $474.85 / $1,230.29	Facility		$405.35	$474.85	$1,230.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $259.27 / $569.80	Professional		$216.27	$259.27	$569.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.76 / $431.68 / $582.77	Facility		$323.76	$431.68	$582.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $431.68 / $924.31	Professional		$291.77	$431.68	$924.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $569.79	Facility		$279.26	$279.26	$569.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $356.75	Professional		$203.86	$203.86	$356.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $279.26	Professional		$203.86	$279.26	$279.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $251.80 / $330.11	Professional		$183.12	$251.80	$330.11
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $215.36 / $331.86	Professional		$143.57	$215.36	$331.86