Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.91 / $181.91 / $513.00	Facility		$181.91	$181.91	$513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $181.91 / $193.42	Professional		$142.32	$181.91	$193.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.02 / $372.56 / $965.27	Facility		$318.02	$372.56	$965.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $165.23 / $440.29	Professional		$149.87	$165.23	$440.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $338.69 / $457.23	Facility		$221.20	$338.69	$457.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.15 / $304.82 / $725.20	Professional		$220.15	$304.82	$725.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $343.86	Facility		$159.91	$159.91	$343.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $281.62	Professional		$116.74	$116.74	$281.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $159.91 / $159.91	Professional		$116.74	$159.91	$159.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $197.56 / $259.00	Professional		$143.68	$197.56	$259.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $153.86 / $214.99	Professional		$96.07	$153.86	$214.99