Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.83 / $320.86 / $736.18	Facility		$174.83	$320.86	$736.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $148.16 / $317.92	Professional		$96.30	$148.16	$317.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $200.02 / $327.75	Facility		$163.53	$200.02	$327.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $89.63 / $256.87	Professional		$74.08	$89.63	$256.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $212.98 / $277.80	Facility		$185.20	$212.98	$277.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $240.76 / $405.24	Professional		$185.20	$240.76	$405.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $190.68 / $1,056.94	Facility		$165.28	$190.68	$1,056.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $141.82 / $358.69	Professional		$84.58	$141.82	$358.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $190.68 / $1,056.94	Facility		$165.28	$190.68	$1,056.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $142.02 / $389.20	Professional		$84.58	$142.02	$389.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $152.79 / $201.40	Professional		$60.00	$152.79	$201.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $269.83	Professional		$77.78	$111.12	$269.83