Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $451.83 / $707.88	Facility		$174.45	$451.83	$707.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $174.45 / $327.08	Professional		$115.56	$174.45	$327.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $235.50 / $385.90	Facility		$192.55	$235.50	$385.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $131.75 / $307.33	Professional		$105.40	$131.75	$307.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $272.58 / $327.08	Facility		$218.06	$272.58	$327.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.48 / $294.38 / $523.34	Professional		$283.48	$294.38	$523.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.37 / $248.05 / $1,244.48	Facility		$224.37	$248.05	$1,244.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $191.10 / $422.39	Professional		$108.48	$191.10	$422.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $224.37 / $317.30 / $1,244.48	Facility		$224.37	$317.30	$1,244.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $164.10 / $505.91	Professional		$108.48	$164.10	$505.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $196.26 / $269.85	Professional		$171.72	$196.26	$269.85
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $314.49	Professional		$91.59	$130.84	$314.49