Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $441.69 / $743.29	Facility		$185.38	$441.69	$743.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $161.19 / $543.24	Professional		$161.19	$161.19	$543.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $217.62 / $356.59	Facility		$177.92	$217.62	$356.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $119.40 / $290.14	Professional		$98.15	$119.40	$290.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $261.95 / $332.48	Facility		$201.50	$261.95	$332.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $272.02 / $483.60	Professional		$261.95	$272.02	$483.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.34 / $229.22 / $1,150.00	Facility		$207.34	$229.22	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $154.93 / $487.09	Professional		$102.37	$154.93	$487.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $207.34 / $254.10 / $1,150.00	Facility		$207.34	$254.10	$1,150.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $126.84 / $487.09	Professional		$102.37	$126.84	$487.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $181.35 / $249.36	Professional		$158.68	$181.35	$249.36
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $120.90 / $274.89	Professional		$84.63	$120.90	$274.89