Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $314.33 / $457.11	Facility		$118.73	$314.33	$457.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $118.73 / $160.59	Professional		$78.65	$118.73	$160.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $163.25 / $262.64	Facility		$131.05	$163.25	$262.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $73.29 / $160.28	Professional		$73.29	$73.29	$160.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $148.41 / $200.35	Facility		$99.00	$148.41	$200.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $192.93 / $200.35	Professional		$126.15	$192.93	$200.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $152.81 / $562.75	Facility		$96.47	$152.81	$562.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $119.09 / $216.02	Professional		$75.45	$119.09	$216.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $152.81 / $573.53	Facility		$96.38	$152.81	$573.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $90.59 / $197.94	Professional		$75.45	$90.59	$197.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $122.44 / $178.09	Professional		$111.31	$122.44	$178.09
United Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $53.43 / $133.57	Facility		$53.43	$53.43	$133.57
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $89.05 / $207.40	Professional		$62.33	$89.05	$207.40