Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.12 / $255.84 / $473.78	Facility		$116.12	$255.84	$473.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $151.61 / $189.51	Professional		$119.39	$151.61	$189.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $208.46 / $335.38	Facility		$167.34	$208.46	$335.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $75.80 / $151.25	Professional		$43.36	$75.80	$151.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $189.51 / $255.84	Facility		$123.27	$189.51	$255.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.08 / $246.36 / $255.84	Professional		$161.08	$246.36	$255.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $195.12 / $399.10	Facility		$93.31	$195.12	$399.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $86.68 / $249.15	Professional		$33.27	$86.68	$249.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $195.12 / $646.70	Facility		$93.31	$195.12	$646.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $70.20 / $123.18	Professional		$33.27	$70.20	$123.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $170.55 / $234.51	Professional		$142.13	$170.55	$234.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $79.59 / $227.41	Professional		$30.68	$79.59	$227.41