Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.85 / $655.29 / $1,285.77	Facility		$278.85	$655.29	$1,285.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $278.85 / $503.19	Professional		$275.83	$278.85	$503.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.77 / $376.44 / $616.85	Facility		$307.77	$376.44	$616.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $171.58 / $453.12	Professional		$142.99	$171.58	$453.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $400.84 / $522.84	Facility		$348.56	$400.84	$522.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $453.13 / $762.38	Professional		$348.56	$453.13	$762.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.64 / $507.17 / $1,989.20	Facility		$358.64	$507.17	$1,989.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $222.64 / $758.47	Professional		$159.50	$222.64	$758.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $358.64 / $507.17 / $1,989.20	Facility		$358.64	$507.17	$1,989.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $187.63 / $758.47	Professional		$159.50	$187.63	$758.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.49 / $313.70 / $431.34	Professional		$274.49	$313.70	$431.34
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.14 / $460.34	Professional		$146.40	$209.14	$460.34