Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.70 / $403.50 / $791.69	Facility		$171.70	$403.50	$791.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $171.70 / $578.62	Professional		$153.22	$171.70	$578.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $231.79 / $379.81	Facility		$189.51	$231.79	$379.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $111.60 / $322.49	Professional		$85.85	$111.60	$322.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $279.01 / $354.12	Facility		$214.62	$279.01	$354.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $289.74 / $515.09	Professional		$279.01	$289.74	$515.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.83 / $244.13 / $1,224.81	Facility		$220.83	$244.13	$1,224.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $123.67 / $467.48	Professional		$98.24	$123.67	$467.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $220.83 / $250.27 / $1,224.81	Facility		$220.83	$250.27	$1,224.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $115.42 / $467.48	Professional		$98.24	$115.42	$467.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $193.16 / $265.60	Professional		$169.01	$193.16	$265.60
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $128.77 / $312.70	Professional		$90.14	$128.77	$312.70