Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $367.92 / $57,339.90	Facility		$164.25	$367.92	$57,339.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $164.25 / $208.91	Professional		$163.21	$164.25	$208.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.39 / $264.44 / $410.63	Facility		$177.39	$264.44	$410.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $183.96 / $276.92	Professional		$164.25	$183.96	$276.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $247.01	Facility		$164.25	$164.25	$247.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $188.89	Professional		$164.25	$164.25	$188.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $161.94 / $164.25	Facility		$154.96	$161.94	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.02	Professional		$164.25	$164.25	$197.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $236.39 / $345.55	Facility		$152.51	$236.39	$345.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $232.43	Professional		$164.25	$164.25	$232.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $182.73 / $228.49	Professional		$163.21	$182.73	$228.49
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $195.46	Professional		$164.25	$164.25	$195.46