Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $177.01 / $177.01	Facility		$177.01	$177.01	$177.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $203.70 / $273.08	Professional		$177.01	$203.70	$273.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.92 / $411.96 / $659.14	Facility		$298.92	$411.96	$659.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $141.53 / $412.61	Professional		$141.50	$141.53	$412.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $247.21 / $362.53	Facility		$29.66	$247.21	$362.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $238.58 / $407.13	Professional		$28.02	$238.58	$407.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $418.93	Facility		$238.16	$238.16	$418.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $387.72	Professional		$202.44	$238.16	$387.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Professional		$238.16	$238.16	$238.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $235.63 / $339.80	Professional		$188.50	$235.63	$339.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $164.42 / $247.72	Professional		$109.61	$164.42	$247.72