Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $389.75 / $533.00	Facility		$165.85	$389.75	$533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $165.85 / $301.22	Professional		$165.85	$165.85	$301.22
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 / $122.85 / $290.23	Professional		$87.02	$122.85	$290.23
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 / $235.81 / $1,183.10	Facility		$213.31	$235.81	$1,183.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $199.05 / $592.99	Professional		$105.34	$199.05	$592.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $261.42 / $1,183.10	Facility		$213.31	$261.42	$1,183.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $199.05 / $549.17	Professional		$105.34	$199.05	$549.17
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 Professional Modifier Low / Median / High Price $87.07 / $162.53 / $352.43	Professional		$87.07	$162.53	$352.43