Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $159.59 / $265.72	Facility		$159.59	$159.59	$265.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $159.59 / $169.69	Professional		$141.63	$159.59	$169.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.01 / $326.83 / $846.82	Facility		$279.01	$326.83	$846.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $157.80 / $386.26	Professional		$144.94	$157.80	$386.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.55 / $297.13 / $401.13	Facility		$220.55	$297.13	$401.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $267.42 / $636.21	Professional		$193.13	$267.42	$636.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $332.68	Facility		$190.78	$190.78	$332.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $243.72	Professional		$139.27	$139.27	$243.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $190.78	Professional		$139.27	$190.78	$190.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $173.31 / $227.21	Professional		$126.04	$173.31	$227.21
United Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $140.97 / $215.34	Professional		$98.01	$140.97	$215.34