Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.79 / $232.79 / $566.00	Facility		$232.79	$232.79	$566.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $232.79 / $293.33	Professional		$199.21	$232.79	$293.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.67 / $524.42 / $1,358.74	Facility		$447.67	$524.42	$1,358.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $247.06 / $619.77	Professional		$238.85	$247.06	$619.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.32 / $476.75 / $643.61	Facility		$345.32	$476.75	$643.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.10 / $450.14 / $1,020.82	Professional		$325.10	$450.14	$1,020.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $586.13	Facility		$280.67	$280.67	$586.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $358.56	Professional		$204.89	$204.89	$358.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $280.67	Professional		$204.89	$280.67	$280.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.24 / $278.08 / $364.56	Professional		$202.24	$278.08	$364.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $237.85 / $312.33	Professional		$158.56	$237.85	$312.33