Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $175.47 / $955.30	Facility		$96.09	$175.47	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $96.09 / $269.43	Professional		$96.09	$96.09	$269.43
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 $117.03 / $136.69 / $221.92	Professional		$117.03	$136.69	$221.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $75.31 / $139.06	Facility		$20.21	$75.31	$139.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $81.20 / $138.36	Professional		$21.79	$81.20	$138.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $1,218.89 / $1,325.32	Facility		$276.51	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $151.88 / $257.66	Professional		$93.63	$151.88	$257.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $1,218.89 / $1,325.32	Facility		$276.51	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $149.81 / $264.12	Professional		$96.53	$149.81	$264.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $92.81 / $182.91	Professional		$41.71	$92.81	$182.91
United Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $125.34 / $233.26	Professional		$94.48	$125.34	$233.26