Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.62 / $137.62 / $316.00	Facility		$137.62	$137.62	$316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $137.62 / $186.87	Professional		$109.16	$137.62	$186.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $310.02 / $803.24	Facility		$264.64	$310.02	$803.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $141.19 / $366.39	Professional		$133.51	$141.19	$366.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $281.83 / $380.48	Facility		$183.20	$281.83	$380.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $253.66 / $603.48	Professional		$183.20	$253.66	$603.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $287.50	Facility		$182.31	$182.31	$287.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $232.90	Professional		$133.09	$133.09	$232.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $182.31	Professional		$133.09	$182.31	$182.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $164.40 / $215.53	Professional		$119.56	$164.40	$215.53
United Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $140.60 / $178.90	Professional		$92.42	$140.60	$178.90