Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $454.77 / $615.00	Facility		$193.52	$454.77	$615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $193.52 / $349.21	Professional		$193.52	$193.52	$349.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $261.25 / $428.09	Facility		$213.60	$261.25	$428.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $145.74 / $387.15	Professional		$119.46	$145.74	$387.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $302.38 / $362.85	Facility		$241.90	$302.38	$362.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.47 / $326.57 / $580.55	Professional		$314.47	$326.57	$580.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.91 / $275.17 / $1,380.57	Facility		$248.91	$275.17	$1,380.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $221.68 / $516.49	Professional		$123.01	$221.68	$516.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $248.91 / $275.17 / $1,380.57	Facility		$248.91	$275.17	$1,380.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $221.99 / $516.49	Professional		$123.01	$221.99	$516.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $217.71 / $299.35	Professional		$190.50	$217.71	$299.35
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $352.45	Professional		$101.60	$145.13	$352.45