Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $380.51 / $518.00	Facility		$161.91	$380.51	$518.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $161.91 / $292.19	Professional		$133.13	$161.91	$292.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.72 / $218.59 / $358.19	Facility		$178.72	$218.59	$358.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $105.24 / $323.94	Professional		$80.95	$105.24	$323.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $263.12 / $333.96	Facility		$202.40	$263.12	$333.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.12 / $273.24 / $485.76	Professional		$263.12	$273.24	$485.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.26 / $230.23 / $1,155.09	Facility		$208.26	$230.23	$1,155.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $108.86 / $440.81	Professional		$87.95	$108.86	$440.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.26 / $253.30 / $1,155.09	Facility		$208.26	$253.30	$1,155.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $108.86 / $440.81	Professional		$87.95	$108.86	$440.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $182.16 / $250.47	Professional		$159.38	$182.16	$250.47
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $121.44 / $267.31	Professional		$80.09	$121.44	$267.31