Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $518.32 / $1,111.61	Facility		$190.00	$518.32	$1,111.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $241.08 / $435.03	Professional		$175.00	$241.08	$435.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.08 / $325.45 / $533.29	Facility		$266.08	$325.45	$533.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $150.66 / $482.31	Professional		$120.54	$150.66	$482.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $346.55 / $452.03	Facility		$301.35	$346.55	$452.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $391.76 / $659.14	Professional		$301.35	$391.76	$659.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.17 / $380.01 / $1,719.83	Facility		$305.17	$380.01	$1,719.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $226.88 / $655.72	Professional		$137.87	$226.88	$655.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $305.17 / $380.01 / $1,719.83	Facility		$305.17	$380.01	$1,719.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $226.88 / $655.72	Professional		$137.87	$226.88	$655.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $271.21 / $372.91	Professional		$237.31	$271.21	$372.91
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $397.99	Professional		$126.57	$180.81	$397.99