Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $475.00 / $695.59	Facility		$150.86	$475.00	$695.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $171.25 / $508.39	Professional		$150.86	$171.25	$508.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $203.66 / $333.71	Facility		$166.51	$203.66	$333.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $135.46 / $309.02	Professional		$101.85	$135.46	$309.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $235.71 / $282.86	Facility		$188.57	$235.71	$282.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.14 / $254.57 / $452.57	Professional		$245.14	$254.57	$452.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $237.79 / $1,076.16	Facility		$194.03	$237.79	$1,076.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $169.58 / $365.40	Professional		$91.31	$169.58	$365.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $326.14 / $1,076.16	Facility		$194.03	$326.14	$1,076.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $169.58 / $426.26	Professional		$91.31	$169.58	$426.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $169.71 / $233.35	Professional		$148.50	$169.71	$233.35
United Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $188.57 / $197.16	Facility		$150.69	$188.57	$197.16
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $188.57 / $299.92	Professional		$113.14	$188.57	$299.92