Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $288.98 / $443.90	Facility		$142.05	$288.98	$443.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $142.05 / $256.33	Professional		$142.05	$142.05	$256.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.79 / $195.32 / $314.23	Facility		$156.79	$195.32	$314.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $71.02 / $177.56	Professional		$71.02	$71.02	$177.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.93 / $177.56 / $239.71	Facility		$150.93	$177.56	$239.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $230.83 / $426.14	Professional		$150.93	$230.83	$426.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $182.81 / $686.88	Facility		$87.44	$182.81	$686.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $115.41 / $255.03	Professional		$81.23	$115.41	$255.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $182.81 / $686.88	Facility		$87.44	$182.81	$686.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $82.00 / $132.65	Professional		$78.22	$82.00	$132.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Professional		$97.66	$97.66	$97.66
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $106.54 / $286.39	Professional		$74.58	$106.54	$286.39