Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $531.80 / $1,124.45	Facility		$190.00	$531.80	$1,124.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $226.30 / $609.00	Professional		$99.66	$226.30	$609.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.78 / $305.51 / $500.61	Facility		$249.78	$305.51	$500.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $133.51 / $400.00	Professional		$113.15	$133.51	$400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $325.31 / $424.32	Facility		$282.88	$325.31	$424.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $367.74 / $618.82	Professional		$282.88	$367.74	$618.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.07 / $356.71 / $3,798.28	Facility		$291.07	$356.71	$3,798.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $247.91 / $689.01	Professional		$129.44	$247.91	$689.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $291.07 / $356.71 / $1,907.12	Facility		$291.07	$356.71	$1,907.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $254.68 / $615.72	Professional		$129.44	$254.68	$615.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $254.59 / $350.06	Professional		$222.76	$254.59	$350.06
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $412.16	Professional		$118.81	$169.73	$412.16