Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.53 / $120.17 / $583.12	Facility		$64.53	$120.17	$583.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $64.53 / $118.59	Professional		$59.57	$64.53	$118.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $165.14 / $342.00	Facility		$130.00	$165.14	$342.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $100.81 / $202.63	Professional		$77.61	$100.81	$202.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $43.62 / $93.13	Facility		$20.34	$43.62	$93.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $47.05 / $73.36	Professional		$21.93	$47.05	$73.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.37 / $467.66 / $830.36	Facility		$96.37	$467.66	$830.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $100.67 / $193.93	Professional		$62.57	$100.67	$193.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.37 / $467.66 / $1,014.52	Facility		$96.37	$467.66	$1,014.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $96.53 / $181.02	Professional		$62.71	$96.53	$181.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $53.68 / $92.69	Professional		$29.78	$53.68	$92.69
United Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $88.95 / $164.50	Professional		$66.39	$88.95	$164.50