Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $95.46 / $236.21	Facility		$79.00	$95.46	$236.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $193.55	Professional		$79.00	$79.00	$193.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.47 / $422.36 / $661.18	Facility		$264.47	$422.36	$661.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $310.00 / $491.81	Professional		$189.44	$310.00	$491.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $349.83 / $594.71	Facility		$151.15	$349.83	$594.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $259.13 / $349.83	Professional		$259.13	$259.13	$349.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $155.91 / $155.91	Professional		$155.91	$155.91	$155.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $518.26 / $549.35	Professional		$362.78	$518.26	$549.35
United Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $195.94 / $240.83	Professional		$186.14	$195.94	$240.83