Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $327.64 / $638.79	Facility		$138.54	$327.64	$638.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $138.54 / $250.00	Professional		$138.54	$138.54	$250.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $187.02 / $306.45	Facility		$152.91	$187.02	$306.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $107.75 / $277.16	Professional		$85.52	$107.75	$277.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $216.46 / $259.76	Facility		$173.17	$216.46	$259.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $233.78 / $415.61	Professional		$225.12	$233.78	$415.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.28 / $196.98 / $988.28	Facility		$166.28	$196.98	$988.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $151.79 / $335.23	Professional		$88.00	$151.79	$335.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.28 / $196.98 / $988.28	Facility		$166.28	$196.98	$988.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $147.00 / $352.83	Professional		$88.00	$147.00	$352.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $155.85 / $214.30	Professional		$136.37	$155.85	$214.30
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $173.17 / $285.70	Professional		$103.90	$173.17	$285.70