Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $287.24 / $955.30	Facility		$150.47	$287.24	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $150.47 / $426.00	Professional		$143.07	$150.47	$426.00
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 $105.10 / $133.76 / $219.92	Professional		$105.10	$133.76	$219.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $127.31 / $214.99	Facility		$20.34	$127.31	$214.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $137.29 / $175.87	Professional		$21.93	$137.29	$175.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.86 / $1,218.89 / $1,325.32	Facility		$312.86	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $202.64 / $368.28	Professional		$135.41	$202.64	$368.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $312.86 / $1,218.89 / $1,325.32	Facility		$312.86	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $194.26 / $357.91	Professional		$144.66	$194.26	$357.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $149.92 / $208.14	Professional		$117.58	$149.92	$208.14
United Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $179.24 / $342.17	Professional		$108.05	$179.24	$342.17