Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $121.30 / $610.00	Facility		$121.30	$121.30	$610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $123.48 / $227.51	Professional		$121.30	$123.48	$227.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $335.15 / $713.21	Professional		$309.42	$335.15	$713.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $282.89 / $423.89	Facility		$282.58	$282.89	$423.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.37 / $367.37 / $508.66	Professional		$367.37	$367.37	$508.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.32 / $409.07 / $429.00	Facility		$264.32	$409.07	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $409.07	Professional		$347.71	$409.07	$409.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $173.23 / $434.20	Professional		$105.67	$173.23	$434.20