Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $497.91 / $765.28	Facility		$165.97	$497.91	$765.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $165.97 / $299.49	Professional		$165.97	$165.97	$299.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $224.06 / $367.14	Facility		$183.19	$224.06	$367.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $133.18 / $620.04	Professional		$102.45	$133.18	$620.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $269.70 / $342.31	Facility		$207.46	$269.70	$342.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $280.07 / $497.90	Professional		$269.70	$280.07	$497.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.47 / $301.69 / $1,183.98	Facility		$213.47	$301.69	$1,183.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $159.51 / $501.99	Professional		$105.51	$159.51	$501.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.47 / $301.69 / $1,183.98	Facility		$213.47	$301.69	$1,183.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $130.63 / $501.99	Professional		$105.51	$130.63	$501.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $186.72 / $256.74	Professional		$163.38	$186.72	$256.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $124.48 / $302.27	Professional		$87.13	$124.48	$302.27