Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $675.09 / $1,194.97	Facility		$258.37	$675.09	$1,194.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $258.37 / $466.23	Professional		$258.37	$258.37	$466.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.17 / $355.26 / $571.54	Facility		$285.17	$355.26	$571.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $159.49 / $419.16	Professional		$159.49	$159.49	$419.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.23 / $322.95 / $436.00	Facility		$259.23	$322.95	$436.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $419.85 / $436.00	Professional		$274.52	$419.85	$436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $332.51 / $1,224.56	Facility		$209.92	$332.51	$1,224.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $259.17 / $470.09	Professional		$164.12	$259.17	$470.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $332.51 / $1,249.65	Facility		$209.92	$332.51	$1,249.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $205.79 / $433.62	Professional		$164.12	$205.79	$433.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $266.44 / $387.55	Professional		$242.22	$266.44	$387.55
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $443.93	Professional		$135.63	$193.78	$443.93