Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $518.32 / $753.38	Facility		$241.08	$518.32	$753.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $241.08 / $435.03	Professional		$210.95	$241.08	$435.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.08 / $325.45 / $533.29	Facility		$266.08	$325.45	$533.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $145.85 / $417.97	Professional		$120.54	$145.85	$417.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $376.69 / $452.03	Facility		$301.35	$376.69	$452.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.76 / $406.82 / $723.24	Professional		$391.76	$406.82	$723.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.94 / $310.27 / $1,719.83	Facility		$268.94	$310.27	$1,719.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $271.33 / $583.97	Professional		$145.62	$271.33	$583.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $268.94 / $310.27 / $1,745.09	Facility		$268.94	$310.27	$1,745.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $168.76 / $583.97	Professional		$145.62	$168.76	$583.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $271.21 / $372.91	Professional		$237.31	$271.21	$372.91
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $397.99	Professional		$126.57	$180.81	$397.99