Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.92 / $245.30 / $826.66	Facility		$231.92	$245.30	$826.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $257.57	Professional		$245.30	$245.30	$257.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $282.08 / $476.27	Professional		$245.30	$282.08	$476.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $370.40	Facility		$245.30	$245.30	$370.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $331.16	Professional		$245.30	$245.30	$331.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $231.42 / $245.30	Facility		$231.42	$231.42	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $323.08	Professional		$245.30	$245.30	$323.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $274.62 / $274.62 / $274.62	Facility		$274.62	$274.62	$274.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $347.13	Professional		$245.30	$245.30	$347.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $296.42 / $355.68	Professional		$245.30	$296.42	$355.68
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $315.45	Professional		$245.30	$245.30	$315.45