Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.59 / $382.00 / $551.85	Facility		$176.59	$382.00	$551.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $176.59 / $318.66	Professional		$176.59	$176.59	$318.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.91 / $238.40 / $390.64	Facility		$194.91	$238.40	$390.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $136.26 / $353.30	Professional		$109.01	$136.26	$353.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $286.95 / $364.22	Facility		$220.74	$286.95	$364.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.95 / $298.00 / $529.78	Professional		$286.95	$298.00	$529.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.13 / $251.09 / $1,259.75	Facility		$227.13	$251.09	$1,259.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $169.73 / $534.15	Professional		$112.27	$169.73	$534.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $227.13 / $278.35 / $1,259.75	Facility		$227.13	$278.35	$1,259.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $139.04 / $534.15	Professional		$112.27	$139.04	$534.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.83 / $198.67 / $273.17	Professional		$173.83	$198.67	$273.17
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $132.44 / $321.62	Professional		$92.71	$132.44	$321.62