Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.28 / $361.82 / $955.30	Facility		$193.28	$361.82	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.64 / $197.15 / $409.75	Professional		$186.64	$197.15	$409.75
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 $108.14 / $151.16 / $264.20	Professional		$108.14	$151.16	$264.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $164.58 / $277.20	Facility		$25.80	$164.58	$277.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $177.49 / $205.30	Professional		$27.82	$177.49	$205.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.41 / $1,218.89 / $1,325.32	Facility		$511.41	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $257.20 / $486.18	Professional		$166.68	$257.20	$486.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $511.41 / $1,218.89 / $1,325.32	Facility		$511.41	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $247.79 / $441.42	Professional		$183.33	$247.79	$441.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $211.31 / $322.74	Professional		$41.71	$211.31	$322.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $224.90 / $425.83	Professional		$120.10	$224.90	$425.83