Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $171.90 / $955.30	Facility		$94.13	$171.90	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $94.13 / $263.70	Professional		$84.56	$94.13	$263.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $130.52 / $226.95	Professional		$110.20	$130.52	$226.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $75.59 / $136.66	Facility		$18.25	$75.59	$136.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $81.53 / $114.19	Professional		$19.68	$81.53	$114.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $1,218.89 / $1,325.32	Facility		$210.32	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $147.22 / $256.66	Professional		$91.52	$147.22	$256.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $1,218.89 / $1,325.32	Facility		$210.32	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $146.27 / $265.85	Professional		$90.87	$146.27	$265.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $95.34 / $144.95	Professional		$63.37	$95.34	$144.95
United Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $119.85 / $209.45	Professional		$94.13	$119.85	$209.45