Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $448.06 / $802.34	Facility		$208.40	$448.06	$802.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.14 / $208.40 / $247.48	Professional		$177.14	$208.40	$247.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.02 / $286.55 / $461.01	Facility		$230.02	$286.55	$461.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $104.20 / $281.33	Professional		$13.28	$104.20	$281.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $276.37 / $403.78	Facility		$221.43	$276.37	$403.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $338.65 / $625.20	Professional		$221.43	$338.65	$625.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $182.03 / $1,486.72	Facility		$128.27	$182.03	$1,486.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $228.40 / $504.85	Professional		$119.21	$228.40	$504.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $296.33 / $1,508.42	Facility		$28.54	$296.33	$1,508.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $136.18 / $567.09	Professional		$119.21	$136.18	$567.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $143.28 / $143.28	Professional		$143.28	$143.28	$143.28
United Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $312.60 / $312.60	Facility		$312.60	$312.60	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $341.26	Professional		$109.41	$156.30	$341.26