Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $684.00	Facility		$349.02	$349.02	$684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $359.49	Professional		$349.02	$349.02	$359.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $401.37 / $677.65	Professional		$349.02	$401.37	$677.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $593.33	Facility		$349.02	$349.02	$593.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $471.18	Professional		$349.02	$349.02	$471.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $329.26 / $349.01	Facility		$329.26	$329.26	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $493.89	Professional		$349.01	$349.01	$493.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $688.50 / $688.50 / $688.50	Facility		$688.50	$688.50	$688.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $587.92	Professional		$349.01	$349.01	$587.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $432.61 / $516.99	Professional		$356.55	$432.61	$516.99
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $448.84	Professional		$349.02	$349.02	$448.84