Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $297.50 / $552.00	Facility		$297.50	$297.50	$552.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $297.50 / $409.71	Professional		$289.95	$297.50	$409.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.10 / $670.20 / $1,736.42	Facility		$572.10	$670.20	$1,736.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $341.89 / $792.05	Professional		$305.26	$341.89	$792.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.95 / $609.27 / $822.51	Facility		$456.95	$609.27	$822.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $551.32 / $1,304.57	Professional		$398.18	$551.32	$1,304.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $717.86	Facility		$401.27	$401.27	$717.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $407.11	Professional		$292.93	$292.93	$407.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $401.27	Professional		$292.93	$401.27	$401.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.04 / $402.93 / $528.24	Professional		$293.04	$402.93	$528.24
United Facility/Professional Professional Modifier Low / Median / High Price $202.64 / $303.95 / $418.43	Professional		$202.64	$303.95	$418.43