Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.49 / $198.49 / $863.00	Facility		$198.49	$198.49	$863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $198.49 / $249.10	Professional		$177.98	$198.49	$249.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.01 / $406.51 / $1,053.22	Facility		$347.01	$406.51	$1,053.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $216.41 / $480.41	Professional		$180.28	$216.41	$480.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.16 / $369.55 / $498.89	Facility		$277.16	$369.55	$498.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $369.55 / $791.28	Professional		$240.21	$369.55	$791.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $476.95	Facility		$230.92	$230.92	$476.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $230.92	Professional		$168.57	$230.92	$230.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $215.55 / $282.59	Professional		$156.76	$215.55	$282.59
United Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $184.37 / $267.83	Professional		$122.91	$184.37	$267.83