Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $299.95 / $510.09	Facility		$132.49	$299.95	$510.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $132.49 / $239.08	Professional		$132.49	$132.49	$239.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $182.17 / $293.08	Facility		$146.22	$182.17	$293.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $66.72 / $175.60	Professional		$66.72	$66.72	$175.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $165.61 / $223.57	Facility		$110.63	$165.61	$223.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $215.29 / $223.57	Professional		$140.77	$215.29	$223.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $170.52 / $565.16	Facility		$107.65	$170.52	$565.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $108.41 / $237.99	Professional		$75.79	$108.41	$237.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $170.52 / $641.01	Facility		$84.49	$170.52	$641.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $98.30 / $173.52	Professional		$75.79	$98.30	$173.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $136.63 / $198.73	Professional		$124.21	$136.63	$198.73
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $99.37 / $205.12	Professional		$69.56	$99.37	$205.12