Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.46 / $481.39 / $911.03	Facility		$220.46	$481.39	$911.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $236.63 / $427.00	Professional		$206.54	$236.63	$427.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.18 / $319.45 / $523.46	Facility		$261.18	$319.45	$523.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $139.61 / $383.93	Professional		$118.32	$139.61	$383.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $340.16 / $443.69	Facility		$295.79	$340.16	$443.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $384.53 / $646.39	Professional		$295.79	$384.53	$646.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.35 / $336.46 / $1,688.04	Facility		$304.35	$336.46	$1,688.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $220.61 / $573.24	Professional		$135.38	$220.61	$573.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $304.35 / $372.98 / $1,712.81	Facility		$304.35	$372.98	$1,712.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $159.18 / $573.24	Professional		$135.38	$159.18	$573.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $266.20 / $366.03	Professional		$232.93	$266.20	$366.03
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $390.65	Professional		$124.23	$177.47	$390.65