Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $533.77 / $970.58	Facility		$186.90	$533.77	$970.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $158.38 / $533.77	Professional		$144.18	$158.38	$533.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.83 / $213.83 / $350.38	Facility		$174.83	$213.83	$350.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $119.46 / $285.08	Professional		$97.77	$119.46	$285.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $257.39 / $326.68	Facility		$197.99	$257.39	$326.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $267.29 / $475.18	Professional		$257.39	$267.29	$475.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $288.08 / $1,642.87	Facility		$203.72	$288.08	$1,642.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $152.22 / $478.46	Professional		$100.72	$152.22	$478.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $288.08 / $1,334.79	Facility		$203.72	$288.08	$1,334.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $124.70 / $478.46	Professional		$100.72	$124.70	$478.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $178.18 / $245.00	Professional		$155.91	$178.18	$245.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $118.79 / $288.47	Professional		$83.16	$118.79	$288.47