Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $350.02 / $508.75	Facility		$162.80	$350.02	$508.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $162.80 / $293.77	Professional		$154.78	$162.80	$293.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.69 / $219.78 / $360.13	Facility		$179.69	$219.78	$360.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $105.82 / $649.35	Professional		$81.40	$105.82	$649.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $264.55 / $335.78	Facility		$203.50	$264.55	$335.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.55 / $274.73 / $488.40	Professional		$264.55	$274.73	$488.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.40 / $231.49 / $1,161.42	Facility		$209.40	$231.49	$1,161.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $124.93 / $443.16	Professional		$93.12	$124.93	$443.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $209.40 / $256.62 / $1,161.42	Facility		$209.40	$256.62	$1,161.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $109.59 / $443.16	Professional		$93.12	$109.59	$443.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.26 / $183.15 / $251.83	Professional		$160.26	$183.15	$251.83
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $268.76	Professional		$85.47	$122.10	$268.76