Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.04 / $438.69 / $637.63	Facility		$204.04	$438.69	$637.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $204.04 / $368.19	Professional		$200.00	$204.04	$368.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.21 / $275.45 / $451.36	Facility		$225.21	$275.45	$451.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $132.62 / $362.76	Professional		$102.02	$132.62	$362.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $318.81 / $382.58	Facility		$255.05	$318.81	$382.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.57 / $344.32 / $612.12	Professional		$331.57	$344.32	$612.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.43 / $290.12 / $1,455.55	Facility		$262.43	$290.12	$1,455.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $223.52 / $555.33	Professional		$116.73	$223.52	$555.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $262.43 / $290.12 / $1,455.55	Facility		$262.43	$290.12	$1,455.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $149.19 / $555.33	Professional		$116.73	$149.19	$555.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $229.54 / $315.62	Professional		$200.85	$229.54	$315.62
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $153.03 / $336.84	Professional		$83.16	$153.03	$336.84