Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $409.33 / $638.79	Facility		$163.47	$409.33	$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 $98.11 / $127.54 / $277.16	Professional		$98.11	$127.54	$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 $178.18 / $196.98 / $988.28	Facility		$178.18	$196.98	$988.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $155.76 / $335.23	Professional		$88.00	$155.76	$335.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $178.18 / $196.98 / $988.28	Facility		$178.18	$196.98	$988.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $155.76 / $410.70	Professional		$88.00	$155.76	$410.70
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 / $315.33	Professional		$103.90	$173.17	$315.33