Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $186.23 / $352.43	Facility		$91.54	$186.23	$352.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $125.87 / $202.51	Facility		$101.04	$125.87	$202.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $107.96 / $183.15	Professional		$45.77	$107.96	$183.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $148.76 / $2,677.67	Facility		$85.82	$148.76	$2,677.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $250.37 / $3,168.72	Professional		$119.71	$250.37	$3,168.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $117.82 / $390.50	Facility		$74.38	$117.82	$390.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $131.75 / $164.68	Professional		$74.38	$131.75	$164.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $117.82 / $442.63	Facility		$74.38	$117.82	$442.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $74.38 / $74.38	Professional		$74.38	$74.38	$74.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $62.94	Professional		$62.94	$62.94	$62.94
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $137.32	Professional		$48.06	$68.66	$137.32