Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.36 / $688.00 / $954.25	Facility		$305.36	$688.00	$954.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $305.36 / $600.00	Professional		$151.33	$305.36	$600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.04 / $412.24 / $675.49	Facility		$337.04	$412.24	$675.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $198.48 / $773.86	Professional		$152.68	$198.48	$773.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $438.96 / $572.54	Facility		$381.70	$438.96	$572.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $496.21 / $834.53	Professional		$381.70	$496.21	$834.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.55 / $393.01 / $2,178.41	Facility		$255.55	$393.01	$2,178.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $193.10 / $739.51	Professional		$70.09	$193.10	$739.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $255.55 / $393.01 / $2,178.41	Facility		$255.55	$393.01	$2,178.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $192.86 / $739.51	Professional		$70.09	$192.86	$739.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.59 / $343.53 / $472.36	Professional		$300.59	$343.53	$472.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $229.02 / $556.14	Professional		$63.72	$229.02	$556.14