Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $439.92 / $720.72	Facility		$187.20	$439.92	$720.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $187.20 / $337.80	Professional		$82.93	$187.20	$337.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $252.72 / $414.11	Facility		$206.62	$252.72	$414.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $107.37 / $303.73	Professional		$79.56	$107.37	$303.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $304.20 / $386.10	Facility		$234.00	$304.20	$386.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $315.89 / $561.60	Professional		$304.20	$315.89	$561.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $266.18 / $1,335.44	Facility		$208.83	$266.18	$1,335.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $126.00 / $509.05	Professional		$106.99	$126.00	$509.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $266.18 / $1,335.44	Facility		$208.83	$266.18	$1,335.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $126.00 / $509.05	Professional		$106.99	$126.00	$509.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $210.60 / $289.57	Professional		$184.27	$210.60	$289.57
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $377.44	Professional		$98.28	$140.40	$377.44