Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $450.64 / $62,036.96	Facility		$197.83	$450.64	$62,036.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $252.99	Professional		$197.83	$197.83	$252.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.66 / $339.28 / $563.82	Facility		$213.66	$339.28	$563.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $225.52 / $333.54	Professional		$197.83	$225.52	$333.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $297.56	Facility		$197.83	$197.83	$297.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $267.07	Professional		$197.83	$197.83	$267.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $193.86 / $197.83	Facility		$186.63	$193.86	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $251.13	Professional		$197.83	$197.83	$251.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $194.08 / $279.69	Facility		$186.63	$194.08	$279.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $279.95	Professional		$197.83	$197.83	$279.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $223.19 / $271.71	Professional		$197.65	$223.19	$271.71
United Facility/Professional Facility Modifier Low / Median / High Price $236.78 / $236.78 / $236.78	Facility		$236.78	$236.78	$236.78
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $201.79 / $245.17	Professional		$197.83	$201.79	$245.17