Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.71 / $158.71 / $361.00	Facility		$158.71	$158.71	$361.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $158.71 / $204.24	Professional		$130.68	$158.71	$204.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $357.54 / $926.36	Facility		$305.20	$357.54	$926.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $175.88 / $422.55	Professional		$158.56	$175.88	$422.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $325.04 / $438.80	Facility		$220.74	$325.04	$438.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $292.54 / $695.98	Professional		$211.28	$292.54	$695.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $344.90	Facility		$166.52	$166.52	$344.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $212.73	Professional		$121.56	$121.56	$212.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $166.52	Professional		$121.56	$166.52	$166.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $189.58 / $248.54	Professional		$137.88	$189.58	$248.54
United Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $162.16 / $206.32	Professional		$108.11	$162.16	$206.32