Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $317.25 / $446.00	Facility		$135.00	$317.25	$446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $135.00 / $243.61	Professional		$58.46	$135.00	$243.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.01 / $182.25 / $298.64	Facility		$149.01	$182.25	$298.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $81.00 / $219.37	Professional		$57.37	$81.00	$219.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $219.38 / $278.44	Facility		$168.75	$219.38	$278.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $227.81 / $405.00	Professional		$219.38	$227.81	$405.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.60 / $191.96 / $963.08	Facility		$150.60	$191.96	$963.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $90.81 / $367.08	Professional		$77.27	$90.81	$367.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.60 / $191.96 / $963.08	Facility		$150.60	$191.96	$963.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $90.81 / $367.08	Professional		$77.27	$90.81	$367.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $151.87 / $208.82	Professional		$132.88	$151.87	$208.82
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $101.25 / $222.87	Professional		$70.88	$101.25	$222.87