Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $529.76 / $770.00	Facility		$246.40	$529.76	$770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $246.40 / $444.63	Professional		$209.44	$246.40	$444.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $332.64 / $545.07	Facility		$271.95	$332.64	$545.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $149.07 / $427.19	Professional		$123.20	$149.07	$427.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $385.00 / $462.00	Facility		$308.00	$385.00	$462.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $415.80 / $739.20	Professional		$400.40	$415.80	$739.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.87 / $317.12 / $1,757.76	Facility		$274.87	$317.12	$1,757.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $235.84 / $596.71	Professional		$140.65	$235.84	$596.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $274.87 / $317.12 / $2,076.48	Facility		$274.87	$317.12	$2,076.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $172.48 / $596.71	Professional		$140.65	$172.48	$596.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $254.10 / $334.95	Professional		$60.00	$254.10	$334.95
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $406.78	Professional		$129.36	$184.80	$406.78