Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.46 / $198.46 / $412.00	Facility		$198.46	$198.46	$412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $198.46 / $282.61	Professional		$166.43	$198.46	$282.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.66 / $447.10 / $1,158.38	Facility		$381.66	$447.10	$1,158.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $205.41 / $528.38	Professional		$201.93	$205.41	$528.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.49 / $406.45 / $548.71	Facility		$288.49	$406.45	$548.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.19 / $365.81 / $870.29	Professional		$264.19	$365.81	$870.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $469.43	Facility		$244.07	$244.07	$469.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $311.80	Professional		$178.17	$178.17	$311.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $244.07	Professional		$178.17	$244.07	$244.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $237.08 / $310.81	Professional		$172.42	$237.08	$310.81
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $381.02 / $448.26	Facility		$381.02	$381.02	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $202.77 / $258.45	Professional		$135.18	$202.77	$258.45