Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $151.71 / $375.00	Facility		$151.71	$151.71	$375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $151.71 / $257.08	Professional		$149.85	$151.71	$257.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $341.77 / $885.50	Facility		$291.75	$341.77	$885.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $183.73 / $407.76	Professional		$155.66	$183.73	$407.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $310.70 / $419.45	Facility		$229.37	$310.70	$419.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.96 / $279.63 / $665.27	Professional		$201.96	$279.63	$665.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $386.43	Facility		$197.02	$197.02	$386.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $251.69	Professional		$143.82	$143.82	$251.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $197.02	Professional		$143.82	$197.02	$197.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $181.22 / $237.58	Professional		$131.80	$181.22	$237.58
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $155.00 / $235.11	Professional		$103.34	$155.00	$235.11