Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $348.04 / $570.19	Facility		$148.10	$348.04	$570.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $148.10 / $1,048.23	Professional		$148.10	$148.10	$1,048.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $199.93 / $327.61	Facility		$163.46	$199.93	$327.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $96.26 / $736.00	Professional		$74.05	$96.26	$736.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $240.66 / $305.45	Facility		$185.12	$240.66	$305.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $249.91 / $444.29	Professional		$240.66	$249.91	$444.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.48 / $210.58 / $1,056.50	Facility		$190.48	$210.58	$1,056.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $162.12 / $493.75	Professional		$84.70	$162.12	$493.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $190.48 / $233.44 / $1,056.50	Facility		$190.48	$233.44	$1,056.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $166.75 / $403.16	Professional		$84.70	$166.75	$403.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $166.60 / $229.08	Professional		$145.78	$166.60	$229.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $244.49	Professional		$77.75	$111.07	$244.49