Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $300.68 / $437.03	Facility		$139.85	$300.68	$437.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $139.85 / $252.36	Professional		$87.40	$139.85	$252.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $188.79 / $309.36	Facility		$154.36	$188.79	$309.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $85.30 / $261.38	Professional		$69.92	$85.30	$261.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $218.51 / $262.22	Facility		$174.81	$218.51	$262.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $235.99 / $419.54	Professional		$227.25	$235.99	$419.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.88 / $198.85 / $997.67	Facility		$179.88	$198.85	$997.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $129.99 / $338.58	Professional		$79.87	$129.99	$338.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $179.88 / $198.85 / $997.67	Facility		$179.88	$198.85	$997.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $129.99 / $338.58	Professional		$79.87	$129.99	$338.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $157.33 / $216.33	Professional		$137.66	$157.33	$216.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $230.87	Professional		$73.42	$104.89	$230.87