Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.99 / $353.38 / $955.30	Facility		$157.99	$353.38	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $563.92	Professional		$157.99	$157.99	$563.92
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 $156.09 / $186.29 / $282.06	Professional		$156.09	$186.29	$282.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $125.80 / $224.95	Facility		$28.69	$125.80	$224.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $135.66 / $170.37	Professional		$30.94	$135.66	$170.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.23 / $1,218.89 / $1,325.32	Facility		$500.23	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $244.23 / $461.27	Professional		$159.04	$244.23	$461.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $500.23 / $1,218.89 / $1,325.32	Facility		$500.23	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $221.15 / $461.27	Professional		$166.61	$221.15	$461.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $159.46 / $235.47	Professional		$41.71	$159.46	$235.47
United Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $223.76 / $425.14	Professional		$133.53	$223.76	$425.14