Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $560.16 / $1,014.90	Facility		$263.61	$560.16	$1,014.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $263.61 / $475.68	Professional		$230.66	$263.61	$475.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.95 / $355.87 / $583.13	Facility		$290.95	$355.87	$583.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $158.16 / $427.70	Professional		$131.80	$158.16	$427.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $378.94 / $494.27	Facility		$329.51	$378.94	$494.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $428.36 / $720.67	Professional		$329.51	$428.36	$720.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.05 / $374.82 / $1,880.50	Facility		$339.05	$374.82	$1,880.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $245.72 / $638.27	Professional		$150.75	$245.72	$638.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $339.05 / $374.82 / $1,880.50	Facility		$339.05	$374.82	$1,880.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $177.23 / $638.27	Professional		$150.75	$177.23	$638.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $296.55 / $407.76	Professional		$259.48	$296.55	$407.76
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $435.18	Professional		$138.38	$197.71	$435.18