Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $235.54 / $442.00	Facility		$100.23	$235.54	$442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $105.36 / $200.56	Professional		$99.48	$105.36	$200.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $133.79 / $226.42	Professional		$113.21	$133.79	$226.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $104.98 / $152.86	Facility		$104.98	$104.98	$152.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $113.21 / $121.21	Professional		$113.21	$113.21	$121.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.37 / $167.37 / $167.37	Facility		$167.37	$167.37	$167.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $142.04 / $250.85	Professional		$103.15	$142.04	$250.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $167.37 / $167.37 / $167.37	Facility		$167.37	$167.37	$167.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $143.82 / $235.54	Professional		$103.36	$143.82	$235.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $117.16 / $156.91	Professional		$90.49	$117.16	$156.91
United Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $120.06 / $211.89	Professional		$83.45	$120.06	$211.89