Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.38 / $272.38 / $533.00	Facility		$272.38	$272.38	$533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.15 / $272.38 / $336.82	Professional		$205.15	$272.38	$336.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.79 / $613.60 / $1,589.79	Facility		$523.79	$613.60	$1,589.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $279.48 / $725.16	Professional		$251.27	$279.48	$725.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.61 / $557.82 / $753.06	Facility		$355.61	$557.82	$753.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $502.04 / $1,194.40	Professional		$362.58	$502.04	$1,194.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $560.53	Facility		$360.86	$360.86	$560.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $463.82	Professional		$263.43	$263.43	$463.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $360.86 / $360.86	Professional		$263.43	$360.86	$360.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $325.38 / $426.57	Professional		$236.64	$325.38	$426.57
United Facility/Professional Professional Modifier Low / Median / High Price $173.94 / $278.29 / $354.09	Professional		$173.94	$278.29	$354.09