Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $447.89 / $911.64	Facility		$168.97	$447.89	$911.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $242.10 / $436.87	Professional		$39.77	$242.10	$436.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $326.83 / $535.54	Facility		$267.20	$326.83	$535.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $135.57 / $392.80	Professional		$35.81	$135.57	$392.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $378.28 / $453.93	Facility		$302.62	$378.28	$453.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.41 / $408.54 / $726.29	Professional		$393.41	$408.54	$726.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $311.57 / $1,727.03	Facility		$94.19	$311.57	$1,727.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $78.54 / $527.44	Professional		$26.65	$78.54	$527.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $311.57 / $1,727.03	Facility		$94.19	$311.57	$1,727.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $72.58 / $585.98	Professional		$26.29	$72.58	$585.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.31 / $272.36 / $374.50	Professional		$238.31	$272.36	$374.50
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $143.74 / $396.43	Professional		$25.60	$143.74	$396.43