Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.52 / $152.52 / $504.00	Facility		$152.52	$152.52	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $152.52 / $197.30	Professional		$140.55	$152.52	$197.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.64 / $312.37 / $809.31	Facility		$266.64	$312.37	$809.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $160.21 / $369.16	Professional		$138.52	$160.21	$369.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $283.97 / $383.36	Facility		$212.98	$283.97	$383.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $257.77 / $608.04	Professional		$184.58	$257.77	$608.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $352.74	Facility		$170.96	$170.96	$352.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $236.11	Professional		$124.80	$124.80	$236.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $170.96 / $170.96	Professional		$124.80	$170.96	$170.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $165.62 / $217.13	Professional		$120.45	$165.62	$217.13
United Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $136.71 / $205.40	Professional		$94.44	$136.71	$205.40