Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $319.24 / $665.91	Facility		$174.45	$319.24	$665.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $174.45 / $218.06	Professional		$174.45	$174.45	$218.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $239.87 / $385.90	Facility		$192.55	$239.87	$385.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $218.06	Professional		$87.22	$87.22	$218.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.35 / $228.96 / $294.38	Facility		$185.35	$228.96	$294.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $283.48 / $294.38	Professional		$185.35	$283.48	$294.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $224.52 / $1,244.48	Facility		$141.74	$224.52	$1,244.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $191.10 / $313.36	Professional		$99.31	$191.10	$313.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $224.52 / $690.89	Facility		$141.74	$224.52	$690.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $141.74 / $268.13	Professional		$99.31	$141.74	$268.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $179.90 / $261.68	Professional		$163.55	$179.90	$261.68
United Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $218.06 / $218.06	Facility		$109.03	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $312.72	Professional		$91.59	$130.84	$312.72