Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $576.85 / $924.11	Facility		$268.30	$576.85	$924.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $268.30 / $484.15	Professional		$268.30	$268.30	$484.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $362.21 / $593.52	Facility		$296.14	$362.21	$593.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $213.64 / $532.67	Professional		$165.62	$213.64	$532.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $435.99 / $553.38	Facility		$335.38	$435.99	$553.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.99 / $452.76 / $804.91	Professional		$435.99	$452.76	$804.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.09 / $381.50 / $1,914.04	Facility		$345.09	$381.50	$1,914.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $257.87 / $811.03	Professional		$170.56	$257.87	$811.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $345.09 / $422.92 / $1,914.04	Facility		$345.09	$422.92	$1,914.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $211.18 / $811.03	Professional		$170.56	$211.18	$811.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $301.84 / $415.03	Professional		$264.11	$301.84	$415.03
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $201.23 / $457.54	Professional		$140.86	$201.23	$457.54