Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $676.00 / $1,040.71	Facility		$272.08	$676.00	$1,040.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $282.27 / $483.02	Professional		$272.08	$282.27	$483.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.35 / $279.57 / $663.20	Facility		$168.35	$279.57	$663.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $166.16 / $384.46	Professional		$155.88	$166.16	$384.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $210.44 / $357.75	Facility		$210.44	$210.44	$357.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $155.88 / $210.44	Professional		$155.88	$155.88	$210.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $473.04	Professional		$289.08	$289.08	$473.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $303.93 / $303.93 / $303.93	Facility		$303.93	$303.93	$303.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $473.04	Professional		$289.08	$289.08	$473.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $194.85 / $226.02	Professional		$171.46	$194.85	$226.02
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $369.01	Professional		$283.42	$283.42	$369.01