Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.56 / $183.56 / $514.00	Facility		$183.56	$183.56	$514.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $183.56 / $314.87	Professional		$171.75	$183.56	$314.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.99 / $413.51 / $1,071.36	Facility		$352.99	$413.51	$1,071.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $210.38 / $488.69	Professional		$188.35	$210.38	$488.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $375.92 / $507.49	Facility		$262.70	$375.92	$507.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.35 / $338.33 / $804.92	Professional		$244.35	$338.33	$804.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $456.38	Facility		$243.19	$243.19	$456.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $310.68	Professional		$177.53	$177.53	$310.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $243.19	Professional		$177.53	$243.19	$243.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $219.28 / $287.48	Professional		$159.47	$219.28	$287.48
United Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $187.54 / $269.27	Professional		$125.03	$187.54	$269.27