Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.07 / $327.39 / $1,240.13	Facility		$171.07	$327.39	$1,240.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $171.07 / $524.53	Professional		$164.50	$171.07	$524.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.01 / $1,171.01 / $1,336.64	Facility		$1,106.01	$1,171.01	$1,336.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $180.10 / $283.14	Professional		$148.86	$180.10	$283.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $142.93 / $243.39	Facility		$24.22	$142.93	$243.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $154.13 / $180.26	Professional		$26.11	$154.13	$180.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.42 / $1,597.37 / $1,720.49	Facility		$456.42	$1,597.37	$1,720.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $238.83 / $447.19	Professional		$163.87	$238.83	$447.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $456.42 / $1,597.37 / $1,720.49	Facility		$456.42	$1,597.37	$1,720.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.58 / $231.35 / $420.19	Professional		$170.58	$231.35	$420.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $196.41 / $287.40	Professional		$41.71	$196.41	$287.40
United Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $221.23 / $391.53	Professional		$142.41	$221.23	$391.53