Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $486.55 / $753.00	Facility		$226.30	$486.55	$753.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $226.30 / $408.36	Professional		$198.02	$226.30	$408.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.78 / $305.51 / $500.61	Facility		$249.78	$305.51	$500.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $147.09 / $422.98	Professional		$113.15	$147.09	$422.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $325.31 / $424.32	Facility		$262.99	$325.31	$424.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $381.89 / $678.91	Professional		$367.74	$381.89	$678.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.07 / $321.77 / $1,614.38	Facility		$291.07	$321.77	$1,614.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $209.66 / $547.76	Professional		$129.01	$209.66	$547.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $291.07 / $321.77 / $1,614.38	Facility		$291.07	$321.77	$1,614.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $165.48 / $547.76	Professional		$129.01	$165.48	$547.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $254.59 / $350.06	Professional		$222.76	$254.59	$350.06
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $373.60	Professional		$118.81	$169.73	$373.60