Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.63 / $512.45 / $911.03	Facility		$236.63	$512.45	$911.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $236.63 / $427.00	Professional		$207.05	$236.63	$427.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.18 / $319.45 / $523.46	Facility		$261.18	$319.45	$523.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $144.35 / $442.29	Professional		$118.32	$144.35	$442.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $369.74 / $443.69	Facility		$295.79	$369.74	$443.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $399.32 / $709.90	Professional		$384.53	$399.32	$709.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.35 / $336.46 / $1,688.04	Facility		$304.35	$336.46	$1,688.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $219.86 / $573.24	Professional		$135.09	$219.86	$573.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $263.97 / $304.54 / $1,688.04	Facility		$263.97	$304.54	$1,688.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $219.86 / $573.24	Professional		$135.09	$219.86	$573.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $266.20 / $366.03	Professional		$232.93	$266.20	$366.03
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $390.65	Professional		$124.23	$177.47	$390.65