Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.18 / $580.89 / $844.33	Facility		$270.18	$580.89	$844.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $270.18 / $487.54	Professional		$90.45	$270.18	$487.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.22 / $364.75 / $597.67	Facility		$298.22	$364.75	$597.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.96 / $438.37	Professional		$114.82	$154.96	$438.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $439.05 / $557.25	Facility		$337.73	$439.05	$557.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.05 / $455.94 / $810.55	Professional		$439.05	$455.94	$810.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.11 / $347.72 / $1,927.39	Facility		$226.11	$347.72	$1,927.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $170.79 / $654.36	Professional		$59.85	$170.79	$654.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $226.11 / $347.72 / $1,927.39	Facility		$226.11	$347.72	$1,927.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $164.80 / $654.36	Professional		$59.85	$164.80	$654.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.96 / $303.95 / $417.94	Professional		$265.96	$303.95	$417.94
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $185.75 / $446.04	Professional		$54.40	$185.75	$446.04