Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.58 / $464.68 / $955.30	Facility		$232.58	$464.68	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.58 / $232.58 / $728.88	Professional		$232.58	$232.58	$728.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $227.58 / $370.08	Professional		$171.35	$227.58	$370.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $194.66 / $329.50	Facility		$31.60	$194.66	$329.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $209.94 / $245.57	Professional		$34.08	$209.94	$245.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.03 / $1,218.89 / $1,325.32	Facility		$654.03	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $345.84 / $597.03	Professional		$223.79	$345.84	$597.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $654.03 / $1,218.89 / $1,325.32	Facility		$654.03	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.25 / $312.82 / $572.82	Professional		$232.25	$312.82	$572.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $247.15 / $376.27	Professional		$41.71	$247.15	$376.27
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $296.58 / $554.04	Professional		$177.83	$296.58	$554.04