Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $393.25 / $745.72	Facility		$181.22	$393.25	$745.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $183.03 / $409.04	Professional		$181.21	$183.03	$409.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $310.79 / $520.10	Facility		$195.72	$310.79	$520.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $344.31	Professional		$181.22	$181.22	$344.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $181.22 / $308.07	Facility		$181.22	$181.22	$308.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $244.65	Professional		$181.22	$181.22	$244.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $181.22	Facility		$170.96	$170.96	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $181.22 / $181.22	Professional		$142.03	$181.22	$181.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $168.31 / $480.49	Facility		$101.11	$168.31	$480.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $181.22 / $181.22	Professional		$142.03	$181.22	$181.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $226.52 / $254.93	Professional		$193.40	$226.52	$254.93
United Facility/Professional Facility Modifier Low / Median / High Price $149.82 / $149.82 / $149.82	Facility		$149.82	$149.82	$149.82
United Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $181.22 / $246.00	Professional		$174.80	$181.22	$246.00