Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.41 / $410.93 / $767.06	Facility		$187.41	$410.93	$767.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $165.85 / $299.27	Professional		$165.85	$165.85	$299.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.05 / $223.89 / $366.88	Facility		$183.05	$223.89	$366.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $120.80 / $298.54	Professional		$87.02	$120.80	$298.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $269.50 / $342.06	Facility		$207.31	$269.50	$342.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $279.87 / $497.54	Professional		$269.50	$279.87	$497.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $301.69 / $1,183.10	Facility		$213.31	$301.69	$1,183.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $159.40 / $501.20	Professional		$105.34	$159.40	$501.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $301.69 / $1,183.10	Facility		$213.31	$301.69	$1,183.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $130.60 / $501.20	Professional		$105.34	$130.60	$501.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $186.57 / $256.54	Professional		$163.25	$186.57	$256.54
United Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $248.77 / $248.77	Facility		$248.77	$248.77	$248.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $303.19	Professional		$87.07	$124.39	$303.19