Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.87 / $789.92 / $1,243.05	Facility		$322.87	$789.92	$1,243.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $322.87 / $582.62	Professional		$210.43	$322.87	$582.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.37 / $435.88 / $714.23	Facility		$356.37	$435.88	$714.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $209.87 / $645.94	Professional		$161.44	$209.87	$645.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $524.66 / $665.92	Facility		$403.59	$524.66	$665.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $544.85 / $968.62	Professional		$524.66	$544.85	$968.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.43 / $459.08 / $2,303.26	Facility		$400.43	$459.08	$2,303.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $217.17 / $828.12	Professional		$139.04	$217.17	$828.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.43 / $459.08 / $2,303.26	Facility		$400.43	$459.08	$2,303.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $217.17 / $828.12	Professional		$139.04	$217.17	$828.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.82 / $363.22 / $499.43	Professional		$317.82	$363.22	$499.43
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $242.15 / $533.02	Professional		$126.57	$242.15	$533.02