Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.06 / $365.45 / $610.53	Facility		$135.06	$365.45	$610.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $132.41 / $238.93	Professional		$115.86	$132.41	$238.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $178.75 / $292.89	Facility		$146.15	$178.75	$292.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $86.06 / $215.16	Professional		$66.20	$86.06	$215.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $215.16 / $273.08	Facility		$165.51	$215.16	$273.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.16 / $223.44 / $397.22	Professional		$215.16	$223.44	$397.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.30 / $188.27 / $944.55	Facility		$170.30	$188.27	$944.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $93.51 / $360.02	Professional		$75.79	$93.51	$360.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.30 / $208.71 / $944.55	Facility		$170.30	$208.71	$944.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $88.98 / $360.02	Professional		$75.79	$88.98	$360.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $148.95 / $204.81	Professional		$130.33	$148.95	$204.81
United Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $59.58 / $148.96	Facility		$59.58	$59.58	$148.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $218.59	Professional		$69.51	$99.31	$218.59