Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $472.70 / $687.08	Facility		$219.86	$472.70	$687.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $219.86 / $396.74	Professional		$192.38	$219.86	$396.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.67 / $296.82 / $486.37	Facility		$242.67	$296.82	$486.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $142.90 / $410.94	Professional		$109.93	$142.90	$410.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.49 / $316.05 / $412.25	Facility		$255.49	$316.05	$412.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.28 / $371.02 / $659.59	Professional		$357.28	$371.02	$659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.79 / $312.62 / $1,568.46	Facility		$282.79	$312.62	$1,568.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $203.79 / $532.34	Professional		$125.39	$203.79	$532.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $282.79 / $312.62 / $1,568.46	Facility		$282.79	$312.62	$1,568.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $160.78 / $532.34	Professional		$125.39	$160.78	$532.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $247.34 / $340.09	Professional		$216.42	$247.34	$340.09
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $362.97	Professional		$115.43	$164.90	$362.97