Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.46 / $336.23 / $955.30	Facility		$173.46	$336.23	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $173.46 / $367.74	Professional		$163.69	$173.46	$367.74
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 $94.24 / $130.71 / $222.44	Professional		$94.24	$130.71	$222.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $133.61 / $227.47	Facility		$22.61	$133.61	$227.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $144.09 / $168.47	Professional		$24.38	$144.09	$168.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.76 / $1,218.89 / $1,325.32	Facility		$396.76	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $221.39 / $422.01	Professional		$149.46	$221.39	$422.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $396.76 / $1,218.89 / $1,325.32	Facility		$396.76	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $214.12 / $366.64	Professional		$148.94	$214.12	$366.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $169.98 / $243.37	Professional		$125.23	$169.98	$243.37
United Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $194.28 / $378.88	Professional		$96.10	$194.28	$378.88