Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.96 / $442.81 / $792.95	Facility		$205.96	$442.81	$792.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $205.96 / $371.66	Professional		$78.37	$205.96	$371.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $278.05 / $455.61	Facility		$227.33	$278.05	$455.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $158.91 / $370.74	Professional		$127.14	$158.91	$370.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $321.81 / $386.18	Facility		$257.45	$321.81	$386.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.69 / $347.56 / $617.88	Professional		$334.69	$347.56	$617.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $292.85 / $1,469.25	Facility		$264.89	$292.85	$1,469.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $225.53 / $504.18	Professional		$130.93	$225.53	$504.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $324.64 / $1,469.25	Facility		$264.89	$324.64	$1,469.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $197.95 / $609.83	Professional		$130.93	$197.95	$609.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $231.70 / $318.59	Professional		$202.74	$231.70	$318.59
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $353.88	Professional		$108.13	$154.47	$353.88