Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $317.38 / $570.41	Facility		$167.42	$317.38	$570.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $148.16 / $267.36	Professional		$96.30	$148.16	$267.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $200.02 / $327.75	Facility		$163.53	$200.02	$327.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $89.63 / $256.87	Professional		$74.08	$89.63	$256.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $231.50 / $277.80	Facility		$185.20	$231.50	$277.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $250.02 / $444.48	Professional		$240.76	$250.02	$444.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $190.68 / $1,056.94	Facility		$165.28	$190.68	$1,056.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $141.82 / $358.69	Professional		$84.58	$141.82	$358.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $190.68 / $1,248.58	Facility		$165.28	$190.68	$1,248.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $103.71 / $358.69	Professional		$84.58	$103.71	$358.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $152.79 / $201.40	Professional		$60.00	$152.79	$201.40
United Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $66.67 / $166.68	Facility		$66.67	$66.67	$166.68
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $244.59	Professional		$77.78	$111.12	$244.59