Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $366.88 / $533.25	Facility		$170.64	$366.88	$533.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $170.64 / $307.92	Professional		$105.93	$170.64	$307.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.34 / $230.36 / $377.48	Facility		$188.34	$230.36	$377.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $110.91 / $341.38	Professional		$85.32	$110.91	$341.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $277.29 / $351.95	Facility		$213.30	$277.29	$351.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.29 / $287.95 / $511.92	Professional		$277.29	$287.95	$511.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $242.64 / $1,217.34	Facility		$201.88	$242.64	$1,217.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $114.69 / $416.52	Professional		$70.09	$114.69	$416.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $242.64 / $1,217.34	Facility		$201.88	$242.64	$1,217.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $114.69 / $416.52	Professional		$70.09	$114.69	$416.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $191.97 / $263.96	Professional		$167.97	$191.97	$263.96
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $127.98 / $344.05	Professional		$63.72	$127.98	$344.05