Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $400.41 / $712.87	Facility		$154.60	$400.41	$712.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $154.60 / $278.98	Professional		$137.88	$154.60	$278.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $208.71 / $341.99	Facility		$170.64	$208.71	$341.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $96.62 / $306.89	Professional		$77.30	$96.62	$306.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $222.24 / $289.88	Facility		$193.25	$222.24	$289.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $251.23 / $422.21	Professional		$193.25	$251.23	$422.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $262.35 / $1,102.85	Facility		$198.84	$262.35	$1,102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $111.30 / $420.42	Professional		$88.33	$111.30	$420.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $262.35 / $1,119.04	Facility		$198.84	$262.35	$1,119.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $103.93 / $420.42	Professional		$88.33	$103.93	$420.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $173.92 / $239.15	Professional		$152.18	$173.92	$239.15
United Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $173.93	Facility		$69.56	$69.56	$173.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $253.16	Professional		$81.17	$115.95	$253.16