Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.88 / $627.39 / $888.36	Facility		$268.88	$627.39	$888.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $263.61 / $475.68	Professional		$230.66	$263.61	$475.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.95 / $355.87 / $583.13	Facility		$290.95	$355.87	$583.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $159.47 / $457.03	Professional		$131.80	$159.47	$457.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $411.89 / $494.27	Facility		$329.51	$411.89	$494.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $444.84 / $790.82	Professional		$428.36	$444.84	$790.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.07 / $339.26 / $1,880.50	Facility		$294.07	$339.26	$1,880.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $252.13 / $638.27	Professional		$150.37	$252.13	$638.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $339.26 / $1,880.50	Facility		$237.00	$339.26	$1,880.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $184.53 / $638.27	Professional		$150.37	$184.53	$638.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $271.84 / $358.33	Professional		$60.00	$271.84	$358.33
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $480.10	Professional		$138.38	$197.71	$480.10