Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $222.44 / $398.32	Facility		$103.46	$222.44	$398.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $103.46 / $174.25	Professional		$103.46	$103.46	$174.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.20 / $142.26 / $228.88	Facility		$114.20	$142.26	$228.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $51.73 / $129.33	Professional		$51.73	$51.73	$129.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $129.33 / $174.60	Facility		$82.15	$129.33	$174.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $168.13 / $174.60	Professional		$109.93	$168.13	$174.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $133.15 / $272.35	Facility		$84.06	$133.15	$272.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $73.03 / $185.85	Professional		$44.94	$73.03	$185.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $133.15 / $441.32	Facility		$84.06	$133.15	$441.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $67.65 / $104.75	Professional		$44.30	$67.65	$104.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $106.70 / $155.19	Professional		$97.00	$106.70	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $65.76 / $169.42	Professional		$46.03	$65.76	$169.42