Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $143.72 / $452.68	Facility		$78.40	$143.72	$452.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $78.40 / $143.72	Professional		$58.73	$78.40	$143.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.72 / $427.45 / $487.91	Facility		$403.72	$427.45	$487.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $55.42 / $103.62	Professional		$35.51	$55.42	$103.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $61.36 / $110.96	Facility		$14.86	$61.36	$110.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $66.17 / $82.18	Professional		$16.02	$66.17	$82.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $358.94 / $545.78	Facility		$99.05	$358.94	$545.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $90.53 / $169.28	Professional		$56.80	$90.53	$169.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $358.94 / $726.56	Facility		$99.05	$358.94	$726.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $89.65 / $156.88	Professional		$56.80	$89.65	$156.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $72.49 / $102.15	Professional		$53.04	$72.49	$102.15
United Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $84.66 / $154.44	Professional		$50.02	$84.66	$154.44