Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $155.19 / $500.00	Facility		$155.19	$155.19	$500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $155.19 / $217.46	Professional		$127.48	$155.19	$217.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $317.85 / $823.51	Facility		$271.32	$317.85	$823.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $156.19 / $375.63	Professional		$140.97	$156.19	$375.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.53 / $288.95 / $390.08	Facility		$198.53	$288.95	$390.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $260.06 / $618.70	Professional		$187.82	$260.06	$618.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $350.95	Facility		$165.40	$165.40	$350.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $211.30	Professional		$120.74	$120.74	$211.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $165.40	Professional		$120.74	$165.40	$165.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $168.54 / $220.95	Professional		$122.57	$168.54	$220.95
United Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $139.66 / $203.50	Professional		$96.10	$139.66	$203.50