Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $311.94 / $955.30	Facility		$122.47	$311.94	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $141.38 / $472.31	Professional		$122.47	$141.38	$472.31
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 $106.10 / $137.16 / $217.18	Professional		$106.10	$137.16	$217.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $99.66 / $175.01	Facility		$20.53	$99.66	$175.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $107.47 / $155.32	Professional		$22.14	$107.47	$155.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.79 / $1,218.89 / $1,325.32	Facility		$423.79	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $192.96 / $402.10	Professional		$123.72	$192.96	$402.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $423.79 / $1,218.89 / $1,325.32	Facility		$423.79	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $182.30 / $378.27	Professional		$129.61	$182.30	$378.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $123.98 / $185.65	Professional		$41.71	$123.98	$185.65
United Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $184.68 / $349.04	Professional		$105.35	$184.68	$349.04