Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.09 / $499.30 / $728.40	Facility		$233.09	$499.30	$728.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $233.09 / $420.61	Professional		$203.95	$233.09	$420.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $314.67 / $515.62	Facility		$257.27	$314.67	$515.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $151.50 / $435.66	Professional		$116.54	$151.50	$435.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $364.20 / $437.04	Facility		$291.36	$364.20	$437.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.77 / $393.34 / $699.26	Professional		$378.77	$393.34	$699.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.79 / $331.42 / $1,662.76	Facility		$299.79	$331.42	$1,662.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $215.81 / $564.52	Professional		$132.79	$215.81	$564.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $299.79 / $331.42 / $1,662.76	Facility		$299.79	$331.42	$1,662.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $170.45 / $564.52	Professional		$132.79	$170.45	$564.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.44 / $262.22 / $360.55	Professional		$229.44	$262.22	$360.55
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $384.80	Professional		$122.37	$174.82	$384.80