Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $496.95 / $975.10	Facility		$211.47	$496.95	$975.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $211.47 / $396.50	Professional		$168.36	$211.47	$396.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.41 / $285.49 / $467.80	Facility		$233.41	$285.49	$467.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $137.46 / $385.93	Professional		$105.74	$137.46	$385.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $330.43 / $396.51	Facility		$264.33	$330.43	$396.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.64 / $356.86 / $634.41	Professional		$343.64	$356.86	$634.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.91 / $320.44 / $1,508.58	Facility		$235.91	$320.44	$1,508.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $183.22 / $512.23	Professional		$112.60	$183.22	$512.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $235.91 / $333.33 / $1,508.58	Facility		$235.91	$333.33	$1,508.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $174.56 / $512.23	Professional		$111.26	$174.56	$512.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.17 / $237.91 / $327.12	Professional		$208.17	$237.91	$327.12
United Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $264.33 / $383.29	Professional		$148.16	$264.33	$383.29