Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $356.58 / $638.52	Facility		$165.85	$356.58	$638.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $165.85 / $299.27	Professional		$145.12	$165.85	$299.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.05 / $223.89 / $366.88	Facility		$183.05	$223.89	$366.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $100.33 / $287.52	Professional		$82.92	$100.33	$287.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $259.14 / $310.97	Facility		$207.31	$259.14	$310.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $279.87 / $497.54	Professional		$269.50	$279.87	$497.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.01 / $213.44 / $1,183.10	Facility		$185.01	$213.44	$1,183.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $158.65 / $401.60	Professional		$94.62	$158.65	$401.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $185.01 / $213.44 / $1,397.64	Facility		$185.01	$213.44	$1,397.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $116.09 / $401.60	Professional		$94.62	$116.09	$401.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $171.02 / $225.44	Professional		$60.00	$171.02	$225.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $334.39	Professional		$87.07	$124.39	$334.39