Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $196.24 / $290.61	Facility		$94.52	$196.24	$290.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $93.01 / $196.46	Professional		$83.34	$93.01	$196.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.82 / $193.56 / $220.94	Facility		$182.82	$193.56	$220.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $98.60 / $153.74	Professional		$78.51	$98.60	$153.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $71.90 / $132.87	Facility		$28.39	$71.90	$132.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $67.79 / $98.41	Professional		$30.61	$67.79	$98.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $196.70 / $292.58	Facility		$137.97	$196.70	$292.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $125.25 / $205.76	Professional		$86.97	$125.25	$205.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $199.20 / $472.44	Facility		$137.97	$199.20	$472.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $125.25 / $205.76	Professional		$88.73	$125.25	$205.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $81.81 / $132.19	Professional		$40.43	$81.81	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $110.83 / $182.12	Professional		$80.61	$110.83	$182.12