Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $684.00 / $1,575.17	Facility		$276.95	$684.00	$1,575.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $317.60 / $317.60	Professional		$207.74	$317.60	$317.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $67.20 / $101.16	Professional		$60.00	$67.20	$101.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.51 / $323.51 / $395.41	Facility		$323.51	$323.51	$395.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $202.21 / $412.51 / $693.70	Facility		$202.21	$412.51	$693.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $140.19 / $140.19	Professional		$140.19	$140.19	$140.19