Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.96 / $379.69 / $583.12	Facility		$223.96	$379.69	$583.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $223.96 / $375.18	Professional		$157.19	$223.96	$375.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $550.62 / $628.50	Facility		$520.04	$550.62	$628.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $176.72 / $331.31	Professional		$70.51	$176.72	$331.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $47.22 / $110.09	Facility		$28.39	$47.22	$110.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $50.92 / $92.65	Professional		$30.61	$50.92	$92.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $529.73 / $798.46	Facility		$101.90	$529.73	$798.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $107.47 / $181.11	Professional		$71.66	$107.47	$181.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $497.35 / $830.36	Facility		$101.90	$497.35	$830.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $103.77 / $178.63	Professional		$72.53	$103.77	$178.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.90 / $62.86	Professional		$32.34	$46.90	$62.86
United Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $264.89 / $487.56	Professional		$80.98	$264.89	$487.56