Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $460.58 / $892.32	Facility		$193.52	$460.58	$892.32
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 / $143.35 / $348.34	Professional		$119.46	$143.35	$348.34
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 / $212.05 / $468.65	Professional		$123.01	$212.05	$468.65
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 / $162.82 / $572.49	Professional		$123.01	$162.82	$572.49
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