Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.22 / $691.14 / $1,064.36	Facility		$326.22	$691.14	$1,064.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $498.87	Professional		$276.45	$276.45	$498.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $373.22 / $611.55	Facility		$305.14	$373.22	$611.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $217.94 / $647.45	Professional		$170.65	$217.94	$647.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $449.24 / $570.19	Facility		$345.57	$449.24	$570.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.24 / $466.52 / $829.37	Professional		$449.24	$466.52	$829.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.57 / $393.09 / $1,972.16	Facility		$355.57	$393.09	$1,972.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $265.70 / $835.34	Professional		$175.68	$265.70	$835.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $355.57 / $435.76 / $1,972.16	Facility		$355.57	$435.76	$1,972.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $217.61 / $835.34	Professional		$175.68	$217.61	$835.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.13 / $311.01 / $427.64	Professional		$272.13	$311.01	$427.64
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $207.34 / $557.40	Professional		$145.13	$207.34	$557.40