Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $369.94 / $567.70	Facility		$170.48	$369.94	$567.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $172.18 / $464.43	Professional		$168.73	$172.18	$464.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.12 / $274.47 / $426.20	Facility		$184.12	$274.47	$426.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $323.20	Professional		$170.48	$170.48	$323.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $170.48 / $289.82	Facility		$170.48	$170.48	$289.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $230.15	Professional		$170.48	$170.48	$230.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $160.83 / $170.48	Facility		$160.83	$160.83	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $762.93	Professional		$170.48	$170.48	$762.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Facility		$10.11	$10.11	$10.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $762.93	Professional		$170.48	$170.48	$762.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $238.67 / $684.39	Professional		$187.52	$238.67	$684.39
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $223.33	Professional		$170.48	$170.48	$223.33