Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.31 / $338.94 / $955.30	Facility		$178.31	$338.94	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $178.31 / $501.00	Professional		$171.37	$178.31	$501.00
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 $170.16 / $205.47 / $321.11	Professional		$170.16	$205.47	$321.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.97 / $133.61 / $254.23	Facility		$40.97	$133.61	$254.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $144.09 / $213.06	Professional		$44.19	$144.09	$213.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.57 / $1,218.89 / $1,325.32	Facility		$330.57	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $248.25 / $449.82	Professional		$178.57	$248.25	$449.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $330.57 / $1,218.89 / $1,325.32	Facility		$330.57	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $240.72 / $422.82	Professional		$178.57	$240.72	$422.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $172.07 / $276.26	Professional		$41.71	$172.07	$276.26
United Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $229.19 / $385.96	Professional		$156.55	$229.19	$385.96