Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.92 / $575.80 / $962.00	Facility		$239.92	$575.80	$962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $208.63 / $552.88	Professional		$208.63	$208.63	$552.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $281.64 / $461.52	Facility		$230.28	$281.64	$461.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $167.41 / $417.40	Professional		$128.78	$167.41	$417.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $339.03 / $430.30	Facility		$260.79	$339.03	$430.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.03 / $352.07 / $625.90	Professional		$339.03	$352.07	$625.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.33 / $296.64 / $1,488.30	Facility		$268.33	$296.64	$1,488.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $200.51 / $630.62	Professional		$132.58	$200.51	$630.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $268.33 / $328.85 / $1,488.30	Facility		$268.33	$328.85	$1,488.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $164.23 / $630.62	Professional		$132.58	$164.23	$630.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.36 / $234.70 / $322.72	Professional		$205.36	$234.70	$322.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $156.47 / $355.78	Professional		$109.53	$156.47	$355.78