Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.93 / $734.82 / $1,899.00	Facility		$210.93	$734.82	$1,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $250.00 / $525.00	Professional		$206.79	$250.00	$525.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $366.53 / $418.37	Facility		$346.19	$366.53	$418.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.93 / $245.62 / $454.14	Professional		$210.93	$245.62	$454.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.89 / $123.61 / $273.35	Facility		$84.89	$123.61	$273.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $110.90 / $202.44	Professional		$91.54	$110.90	$202.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $228.17 / $700.00	Facility		$219.29	$228.17	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $281.47 / $475.66	Professional		$184.06	$281.47	$475.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $228.17 / $700.00	Facility		$219.29	$228.17	$700.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $193.24 / $276.42 / $468.86	Professional		$193.24	$276.42	$468.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $131.01 / $248.41	Professional		$87.01	$131.01	$248.41
United Facility/Professional Professional Modifier Low / Median / High Price $190.43 / $241.43 / $433.69	Professional		$190.43	$241.43	$433.69