Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.92 / $169.92 / $768.00	Facility		$169.92	$169.92	$768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $169.92 / $219.38	Professional		$130.50	$169.92	$219.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.75 / $382.78 / $991.74	Facility		$326.75	$382.78	$991.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $174.34 / $452.37	Professional		$156.75	$174.34	$452.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.19 / $347.98 / $469.77	Facility		$226.19	$347.98	$469.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $313.18 / $745.09	Professional		$226.19	$313.18	$745.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $355.53	Facility		$225.10	$225.10	$355.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $289.33	Professional		$164.32	$164.32	$289.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $225.10	Professional		$164.32	$225.10	$225.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $202.97 / $266.09	Professional		$147.61	$202.97	$266.09
United Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $196.14 / $278.38	Facility		$117.68	$196.14	$278.38
United Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $173.60 / $220.89	Professional		$108.51	$173.60	$220.89