Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $161.79 / $571.00	Facility		$161.79	$161.79	$571.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $161.79 / $209.30	Professional		$149.09	$161.79	$209.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.85 / $331.34 / $858.48	Facility		$282.85	$331.34	$858.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $176.32 / $397.17	Professional		$146.94	$176.32	$397.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.92 / $301.22 / $421.71	Facility		$225.92	$301.22	$421.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $301.22 / $644.97	Professional		$195.79	$301.22	$644.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $401.34	Facility		$188.22	$188.22	$401.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $240.45	Professional		$137.40	$137.40	$240.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $188.22	Professional		$137.40	$188.22	$188.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $175.70 / $230.34	Professional		$127.78	$175.70	$230.34
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $150.28 / $218.39	Professional		$100.18	$150.28	$218.39