Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $193.23 / $933.21	Facility		$92.74	$193.23	$933.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $98.43 / $190.93	Professional		$84.23	$98.43	$190.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.28 / $881.20 / $1,005.83	Facility		$832.28	$881.20	$1,005.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $107.46 / $184.43	Professional		$87.76	$107.46	$184.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $65.26 / $131.22	Facility		$24.85	$65.26	$131.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $70.38 / $97.19	Professional		$26.80	$70.38	$97.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $739.97 / $1,136.54	Facility		$132.87	$739.97	$1,136.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $127.15 / $236.86	Professional		$86.63	$127.15	$236.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $739.97 / $1,389.74	Facility		$132.87	$739.97	$1,389.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $127.45 / $205.25	Professional		$88.35	$127.45	$205.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $82.38 / $132.19	Professional		$40.46	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $120.12 / $213.31	Professional		$88.18	$120.12	$213.31