Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $386.90 / $970.58	Facility		$156.13	$386.90	$970.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $138.18 / $465.66	Professional		$125.79	$138.18	$465.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.52 / $186.55 / $305.68	Facility		$152.52	$186.55	$305.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $92.17 / $289.05	Professional		$73.73	$92.17	$289.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $224.55 / $285.00	Facility		$172.73	$224.55	$285.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $233.19 / $414.55	Professional		$224.55	$233.19	$414.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.72 / $251.32 / $1,239.07	Facility		$177.72	$251.32	$1,239.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $114.81 / $375.71	Professional		$79.09	$114.81	$375.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.72 / $251.32 / $1,164.48	Facility		$177.72	$251.32	$1,164.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $94.07 / $375.71	Professional		$79.09	$94.07	$375.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $155.46 / $213.75	Professional		$136.02	$155.46	$213.75
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $103.64 / $251.67	Professional		$72.55	$103.64	$251.67