Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $309.62 / $562.05	Facility		$217.01	$309.62	$562.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $199.58 / $377.82	Professional		$129.16	$199.58	$377.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $182.92 / $344.85	Professional		$152.10	$182.92	$344.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.36 / $236.58 / $319.43	Facility		$214.36	$236.58	$319.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.07 / $258.08 / $489.98	Professional		$215.07	$258.08	$489.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $128.00 / $177.96	Facility		$65.00	$128.00	$177.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $257.35 / $383.58	Professional		$177.96	$257.35	$383.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $320.76 / $621.11	Facility		$163.00	$320.76	$621.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $266.13 / $383.58	Professional		$177.96	$266.13	$383.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $239.54 / $334.85	Professional		$182.31	$239.54	$334.85
United Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $210.50 / $381.99	Professional		$152.84	$210.50	$381.99