Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.97 / $244.17 / $602.00	Facility		$221.97	$244.17	$602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $221.97 / $267.33	Professional		$200.93	$221.97	$267.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $133.41 / $203.56	Professional		$102.62	$133.41	$203.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $221.42 / $322.42	Facility		$212.20	$221.42	$322.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $239.87 / $303.91	Professional		$136.19	$239.87	$303.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $278.36 / $451.52	Professional		$193.74	$278.36	$451.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $398.87	Facility		$264.48	$264.48	$398.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $282.20 / $435.50	Professional		$195.37	$282.20	$435.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $250.05 / $436.59	Professional		$184.91	$250.05	$436.59