Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $301.69 / $540.23	Facility		$140.32	$301.69	$540.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $140.32 / $253.21	Professional		$122.78	$140.32	$253.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $189.43 / $310.41	Facility		$154.88	$189.43	$310.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $84.89 / $243.27	Professional		$70.16	$84.89	$243.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $219.25 / $263.10	Facility		$175.40	$219.25	$263.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $236.79 / $420.96	Professional		$228.02	$236.79	$420.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.54 / $180.59 / $1,001.01	Facility		$156.54	$180.59	$1,001.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $134.35 / $339.92	Professional		$80.12	$134.35	$339.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $156.54 / $180.59 / $1,182.52	Facility		$156.54	$180.59	$1,182.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $98.22 / $339.92	Professional		$80.12	$98.22	$339.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $144.70 / $190.74	Professional		$60.00	$144.70	$190.74
United Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $210.48 / $210.48	Facility		$210.48	$210.48	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $231.65	Professional		$73.67	$105.24	$231.65