Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.27 / $397.29 / $680.89	Facility		$134.27	$397.29	$680.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $128.08 / $270.16	Professional		$100.39	$128.08	$270.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $135.53 / $222.08	Facility		$110.81	$135.53	$222.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $88.27 / $214.25	Professional		$70.62	$88.27	$214.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $156.86 / $188.24	Facility		$125.49	$156.86	$188.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $169.41 / $301.18	Professional		$163.13	$169.41	$301.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $158.25 / $807.72	Facility		$129.13	$158.25	$807.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $113.05 / $243.80	Professional		$63.40	$113.05	$243.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $264.29 / $801.97	Facility		$129.13	$264.29	$801.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $113.05 / $295.58	Professional		$63.40	$113.05	$295.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $112.94 / $155.29	Professional		$98.82	$112.94	$155.29
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $125.49 / $207.94	Professional		$75.29	$125.49	$207.94