Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $161.69 / $583.12	Facility		$89.76	$161.69	$583.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $89.76 / $161.69	Professional		$65.98	$89.76	$161.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $550.62 / $628.50	Facility		$520.04	$550.62	$628.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $75.37 / $137.40	Professional		$51.10	$75.37	$137.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $70.08 / $126.92	Facility		$17.09	$70.08	$126.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $75.56 / $94.00	Professional		$18.43	$75.56	$94.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $467.66 / $798.46	Facility		$115.00	$467.66	$798.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $109.07 / $196.54	Professional		$71.54	$109.07	$196.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $467.66 / $830.36	Facility		$115.00	$467.66	$830.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $109.35 / $179.45	Professional		$73.98	$109.35	$179.45
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 $63.29 / $97.46 / $176.83	Professional		$63.29	$97.46	$176.83