Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $332.39 / $595.21	Facility		$154.60	$332.39	$595.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $154.60 / $278.98	Professional		$135.28	$154.60	$278.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $208.71 / $341.99	Facility		$170.64	$208.71	$341.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $93.53 / $268.02	Professional		$77.30	$93.53	$268.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $241.56 / $289.88	Facility		$193.25	$241.56	$289.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $260.89 / $463.80	Professional		$251.23	$260.89	$463.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $198.97 / $1,102.85	Facility		$172.46	$198.97	$1,102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $147.97 / $374.11	Professional		$88.24	$147.97	$374.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $198.97 / $1,302.83	Facility		$172.46	$198.97	$1,302.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $108.22 / $374.11	Professional		$88.24	$108.22	$374.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $159.43 / $210.16	Professional		$60.00	$159.43	$210.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $255.23	Professional		$81.17	$115.95	$255.23