Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $329.75 / $647.01	Facility		$140.32	$329.75	$647.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $140.32 / $253.21	Professional		$122.78	$140.32	$253.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $189.43 / $310.41	Facility		$154.88	$189.43	$310.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $91.20 / $262.24	Professional		$70.16	$91.20	$262.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $219.25 / $263.10	Facility		$175.40	$219.25	$263.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $236.79 / $420.96	Professional		$228.02	$236.79	$420.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $199.52 / $1,001.01	Facility		$180.48	$199.52	$1,001.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $130.07 / $339.92	Professional		$80.03	$130.07	$339.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $199.52 / $1,001.01	Facility		$180.48	$199.52	$1,001.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $102.61 / $339.92	Professional		$80.03	$102.61	$339.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $157.86 / $217.05	Professional		$138.12	$157.86	$217.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $231.65	Professional		$73.67	$105.24	$231.65