Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $329.43 / $554.39	Facility		$150.29	$329.43	$554.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $139.07 / $405.17	Professional		$120.23	$139.07	$405.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $162.31 / $265.97	Facility		$132.71	$162.31	$265.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $110.68 / $258.33	Professional		$85.14	$110.68	$258.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $187.86 / $225.44	Facility		$150.29	$187.86	$225.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $202.89 / $360.70	Professional		$195.38	$202.89	$360.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $170.96 / $857.72	Facility		$154.63	$170.96	$857.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $135.35 / $290.98	Professional		$76.45	$135.35	$290.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $189.52 / $857.72	Facility		$154.63	$189.52	$857.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $135.35 / $355.94	Professional		$76.45	$135.35	$355.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $135.26 / $185.98	Professional		$118.35	$135.26	$185.98
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $150.29 / $251.96	Professional		$90.17	$150.29	$251.96