Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $162.91 / $641.25	Facility		$162.91	$162.91	$641.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $162.91 / $210.76	Professional		$150.13	$162.91	$210.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $333.66 / $864.49	Facility		$284.83	$333.66	$864.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $177.56 / $400.39	Professional		$147.97	$177.56	$400.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.50 / $303.33 / $409.50	Facility		$227.50	$303.33	$409.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $277.85 / $649.49	Professional		$200.67	$277.85	$649.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $390.18	Facility		$196.21	$196.21	$390.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $250.66	Professional		$143.22	$143.22	$250.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $196.21	Professional		$143.22	$196.21	$196.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $176.93 / $231.96	Professional		$128.68	$176.93	$231.96
United Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $151.33 / $219.83	Professional		$100.88	$151.33	$219.83