Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.45 / $368.24 / $415.05	Facility		$177.45	$368.24	$415.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $177.75 / $354.40	Professional		$150.00	$177.75	$354.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.93 / $366.49 / $1,018.03	Facility		$234.93	$366.49	$1,018.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $159.75 / $276.62	Professional		$159.75	$159.75	$276.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.97 / $179.24 / $59,702.01	Facility		$158.97	$179.24	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $158.97 / $158.97	Professional		$158.97	$158.97	$158.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $265.82	Professional		$175.41	$175.41	$265.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $210.61 / $380.88	Facility		$50.88	$210.61	$380.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $265.82	Professional		$175.41	$175.41	$265.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $177.07 / $212.46	Professional		$148.87	$177.07	$212.46