Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $437.77 / $15,427.33	Facility		$173.03	$437.77	$15,427.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $228.28	Professional		$172.55	$173.03	$228.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $278.58 / $432.58	Facility		$186.87	$278.58	$432.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $193.79 / $289.01	Professional		$173.03	$193.79	$289.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $173.03 / $258.83	Facility		$172.55	$173.03	$258.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $276.85	Professional		$172.55	$173.03	$276.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $184.79	Facility		$163.24	$173.03	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $217.40	Professional		$173.03	$173.03	$217.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $325.77	Facility		$163.24	$173.03	$325.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $244.85	Professional		$173.03	$173.03	$244.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $197.90 / $239.13	Professional		$172.55	$197.90	$239.13
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $211.88	Professional		$173.03	$173.03	$211.88