Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $161.76 / $807.00	Facility		$161.76	$161.76	$807.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $161.76 / $189.88	Professional		$145.05	$161.76	$189.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.80 / $331.29 / $858.33	Facility		$282.80	$331.29	$858.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $176.37 / $391.52	Professional		$146.91	$176.37	$391.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.88 / $301.17 / $406.58	Facility		$225.88	$301.17	$406.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $301.17 / $644.87	Professional		$195.76	$301.17	$644.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $388.44	Facility		$188.19	$188.19	$388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $188.19	Professional		$137.38	$188.19	$188.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $175.67 / $230.30	Professional		$127.76	$175.67	$230.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $148.91 / $226.11	Professional		$100.17	$148.91	$226.11