Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $529.76 / $770.00	Facility		$246.40	$529.76	$770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $246.40 / $444.63	Professional		$112.59	$246.40	$444.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $332.64 / $545.07	Facility		$271.95	$332.64	$545.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $142.79 / $399.78	Professional		$104.72	$142.79	$399.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $400.40 / $508.20	Facility		$308.00	$400.40	$508.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $415.80 / $739.20	Professional		$400.40	$415.80	$739.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $317.12 / $1,757.76	Facility		$266.61	$317.12	$1,757.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $165.75 / $596.71	Professional		$74.39	$165.75	$596.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $317.12 / $1,757.76	Facility		$266.61	$317.12	$1,757.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $160.97 / $596.71	Professional		$74.39	$160.97	$596.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $277.20 / $381.15	Professional		$242.55	$277.20	$381.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $172.85 / $403.48	Professional		$67.72	$172.85	$403.48