Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $600.00 / $997.61	Facility		$233.07	$600.00	$997.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $204.86 / $628.37	Professional		$186.46	$204.86	$628.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.80 / $251.72 / $412.46	Facility		$205.80	$251.72	$412.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $132.75 / $373.02	Professional		$106.20	$132.75	$373.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $302.99 / $384.57	Facility		$233.07	$302.99	$384.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.99 / $314.64 / $559.37	Professional		$302.99	$314.64	$559.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.82 / $338.96 / $1,330.17	Facility		$239.82	$338.96	$1,330.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $165.35 / $520.03	Professional		$109.30	$165.35	$520.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.82 / $338.96 / $1,330.17	Facility		$239.82	$338.96	$1,330.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $135.41 / $520.03	Professional		$109.30	$135.41	$520.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $209.76 / $288.42	Professional		$183.54	$209.76	$288.42
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $139.84 / $314.50	Professional		$97.89	$139.84	$314.50