Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $318.54 / $535.00	Facility		$148.16	$318.54	$535.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $148.16 / $267.36	Professional		$129.63	$148.16	$267.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $200.02 / $327.75	Facility		$163.53	$200.02	$327.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $96.30 / $276.92	Professional		$74.08	$96.30	$276.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $212.98 / $277.80	Facility		$172.22	$212.98	$277.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $250.02 / $444.48	Professional		$240.76	$250.02	$444.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.56 / $210.67 / $1,056.94	Facility		$190.56	$210.67	$1,056.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $137.28 / $358.69	Professional		$84.47	$137.28	$358.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $190.56 / $210.67 / $1,056.94	Facility		$190.56	$210.67	$1,056.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $108.34 / $358.69	Professional		$84.47	$108.34	$358.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $166.68 / $229.18	Professional		$145.84	$166.68	$229.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $244.59	Professional		$77.78	$111.12	$244.59