Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $220.77 / $477.00	Facility		$220.77	$220.77	$477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $220.77 / $307.83	Professional		$189.63	$220.77	$307.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.55 / $497.34 / $1,288.57	Facility		$424.55	$497.34	$1,288.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $226.53 / $587.76	Professional		$218.58	$226.53	$587.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.88 / $452.13 / $610.38	Facility		$293.88	$452.13	$610.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $406.92 / $968.10	Professional		$293.88	$406.92	$968.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $466.31	Facility		$292.48	$292.48	$466.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $373.64	Professional		$213.51	$213.51	$373.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $292.48	Professional		$213.51	$292.48	$292.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.80 / $263.72 / $345.74	Professional		$191.80	$263.72	$345.74
United Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $225.56 / $287.95	Professional		$150.38	$225.56	$287.95