Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.23 / $464.65 / $770.67	Facility		$197.23	$464.65	$770.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $167.14 / $563.26	Professional		$167.14	$167.14	$563.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.48 / $225.63 / $369.73	Facility		$184.48	$225.63	$369.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $134.12 / $307.01	Professional		$103.17	$134.12	$307.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $271.60 / $344.72	Facility		$208.92	$271.60	$344.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $282.04 / $501.41	Professional		$271.60	$282.04	$501.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $237.65 / $1,192.32	Facility		$214.97	$237.65	$1,192.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $160.63 / $505.13	Professional		$106.17	$160.63	$505.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $263.45 / $1,192.32	Facility		$214.97	$263.45	$1,192.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $131.62 / $505.13	Professional		$106.17	$131.62	$505.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $188.02 / $258.53	Professional		$164.52	$188.02	$258.53
United Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $75.20 / $188.03	Facility		$75.20	$75.20	$188.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $125.35 / $305.54	Professional		$87.75	$125.35	$305.54