Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $504.72 / $907.14	Facility		$235.62	$504.72	$907.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $235.62 / $425.18	Professional		$206.16	$235.62	$425.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.06 / $318.08 / $521.21	Facility		$260.06	$318.08	$521.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $174.52 / $424.10	Professional		$123.62	$174.52	$424.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $382.88 / $485.96	Facility		$294.52	$382.88	$485.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.88 / $397.60 / $706.85	Professional		$382.88	$397.60	$706.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.05 / $335.02 / $1,680.84	Facility		$303.05	$335.02	$1,680.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $226.45 / $698.19	Professional		$149.75	$226.45	$698.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $303.05 / $371.39 / $1,680.84	Facility		$303.05	$371.39	$1,680.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $185.49 / $712.20	Professional		$149.75	$185.49	$712.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $265.06 / $364.46	Professional		$231.93	$265.06	$364.46
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $176.71 / $429.12	Professional		$123.70	$176.71	$429.12