Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $565.67 / $3,362.92	Facility		$204.96	$565.67	$3,362.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $211.10	Professional		$204.96	$204.96	$211.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $237.75 / $424.43	Professional		$204.96	$237.75	$424.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $348.43	Facility		$204.96	$204.96	$348.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $276.70	Professional		$204.96	$204.96	$276.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $193.35 / $204.96	Facility		$193.35	$193.35	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $454.34	Professional		$204.96	$204.96	$454.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,076.67 / $1,076.67 / $1,076.67	Facility		$1,076.67	$1,076.67	$1,076.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $387.79	Professional		$204.96	$204.96	$387.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $289.22 / $341.80	Professional		$225.45	$289.22	$341.80
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $263.58	Professional		$204.96	$204.96	$263.58