Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.85 / $573.04 / $762.03	Facility		$243.85	$573.04	$762.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $243.85 / $440.03	Professional		$103.74	$243.85	$440.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.14 / $329.19 / $539.41	Facility		$269.14	$329.19	$539.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $158.49 / $487.84	Professional		$121.92	$158.49	$487.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $396.25 / $502.94	Facility		$304.81	$396.25	$502.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $411.49 / $731.54	Professional		$396.25	$411.49	$731.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.64 / $346.73 / $1,739.58	Facility		$313.64	$346.73	$1,739.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $178.31 / $663.57	Professional		$139.52	$178.31	$663.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $313.64 / $384.37 / $1,739.58	Facility		$313.64	$384.37	$1,739.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $178.31 / $663.57	Professional		$139.52	$178.31	$663.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $274.33 / $377.20	Professional		$240.04	$274.33	$377.20
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $182.89 / $402.56	Professional		$128.02	$182.89	$402.56