Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.58 / $510.57 / $1,530.61	Facility		$172.58	$510.57	$1,530.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $174.94 / $251.07	Professional		$150.41	$174.94	$251.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $251.99 / $414.18	Professional		$172.21	$251.99	$414.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $164.84 / $211.40	Facility		$139.13	$164.84	$211.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $165.88 / $199.26	Professional		$156.56	$165.88	$199.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $188.27 / $287.66	Facility		$188.27	$188.27	$287.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $212.56 / $345.55	Professional		$149.44	$212.56	$345.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $270.12 / $418.50	Facility		$188.27	$270.12	$418.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $216.96 / $322.79	Professional		$149.44	$216.96	$322.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $176.80 / $250.84	Professional		$130.35	$176.80	$250.84
United Facility/Professional Professional Modifier Low / Median / High Price $136.74 / $189.18 / $296.57	Professional		$136.74	$189.18	$296.57