Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $183.01 / $641.23	Facility		$99.68	$183.01	$641.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $99.68 / $183.01	Professional		$88.72	$99.68	$183.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.88 / $605.49 / $691.13	Facility		$571.88	$605.49	$691.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $135.16 / $199.34	Professional		$106.35	$135.16	$199.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $61.28 / $144.30	Facility		$37.81	$61.28	$144.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $66.09 / $136.22	Professional		$40.78	$66.09	$136.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.30 / $735.24 / $889.61	Facility		$129.30	$735.24	$889.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $153.18 / $318.76	Professional		$98.89	$153.18	$318.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.30 / $846.63 / $889.61	Facility		$129.30	$846.63	$889.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $148.33 / $258.88	Professional		$103.80	$148.33	$258.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $86.12 / $109.73	Professional		$62.00	$86.12	$109.73
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $169.23 / $330.86	Professional		$101.60	$169.23	$330.86