Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $304.49 / $794.00	Facility		$304.49	$304.49	$794.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $304.49 / $421.42	Professional		$296.77	$304.49	$421.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.54 / $685.95 / $1,777.23	Facility		$585.54	$685.95	$1,777.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $368.09 / $823.13	Professional		$304.20	$368.09	$823.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.69 / $642.29 / $873.03	Facility		$467.69	$642.29	$873.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.51 / $623.59 / $1,335.23	Professional		$436.51	$623.59	$1,335.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $905.22	Facility		$389.66	$389.66	$905.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $416.66	Professional		$284.45	$284.45	$416.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.65 / $389.66	Professional		$284.45	$389.65	$389.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.53 / $363.73 / $476.85	Professional		$264.53	$363.73	$476.85
United Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $311.10 / $479.40	Professional		$207.40	$311.10	$479.40