Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $166.46 / $378.00	Facility		$166.46	$166.46	$378.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $166.46 / $229.02	Professional		$162.24	$166.46	$229.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.11 / $375.00 / $971.59	Facility		$320.11	$375.00	$971.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $187.23 / $443.18	Professional		$170.79	$187.23	$443.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.68 / $340.91 / $460.23	Facility		$255.68	$340.91	$460.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.77 / $308.45 / $729.96	Professional		$222.77	$308.45	$729.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $401.64	Facility		$220.51	$220.51	$401.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $281.70	Professional		$160.97	$160.97	$281.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $220.51	Professional		$160.97	$220.51	$220.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $198.84 / $260.68	Professional		$144.61	$198.84	$260.68
United Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $170.07 / $235.61	Professional		$113.38	$170.07	$235.61