Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $302.18 / $630.58	Facility		$167.46	$302.18	$630.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $167.46 / $234.21	Professional		$167.46	$167.46	$234.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.83 / $230.25 / $370.43	Facility		$184.83	$230.25	$370.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $83.73 / $209.32	Professional		$83.73	$83.73	$209.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $209.32 / $282.58	Facility		$134.19	$209.32	$282.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $272.12 / $282.58	Professional		$177.92	$272.12	$282.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $215.52 / $714.32	Facility		$136.06	$215.52	$714.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $122.85 / $300.45	Professional		$77.43	$122.85	$300.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $215.52 / $809.69	Facility		$103.07	$215.52	$809.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $109.44 / $176.24	Professional		$76.40	$109.44	$176.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $172.68 / $251.18	Professional		$156.99	$172.68	$251.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $94.19 / $251.18	Professional		$61.89	$94.19	$251.18