Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $472.70 / $1,013.79	Facility		$219.86	$472.70	$1,013.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $219.86 / $396.74	Professional		$192.38	$219.86	$396.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.67 / $296.82 / $486.37	Facility		$242.67	$296.82	$486.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $133.01 / $381.18	Professional		$109.93	$133.01	$381.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $316.05 / $412.25	Facility		$274.83	$316.05	$412.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $357.28 / $601.15	Professional		$274.83	$357.28	$601.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.27 / $282.97 / $1,568.46	Facility		$245.27	$282.97	$1,568.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $247.46 / $532.34	Professional		$132.84	$247.46	$532.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.27 / $282.97 / $1,591.49	Facility		$245.27	$282.97	$1,591.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $153.90 / $532.34	Professional		$132.84	$153.90	$532.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $247.34 / $340.09	Professional		$216.42	$247.34	$340.09
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $400.43	Professional		$115.43	$164.90	$400.43