Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $274.00 / $421.96	Facility		$111.79	$274.00	$421.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $109.60 / $197.77	Professional		$82.20	$109.60	$197.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.97 / $147.96 / $242.45	Facility		$120.97	$147.96	$242.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $71.23 / $204.86	Professional		$54.80	$71.23	$204.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $157.55 / $205.50	Facility		$127.44	$157.55	$205.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $184.95 / $328.80	Professional		$178.10	$184.95	$328.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $155.84 / $781.86	Facility		$140.97	$155.84	$781.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $101.49 / $265.50	Professional		$62.47	$101.49	$265.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $155.84 / $781.86	Facility		$140.97	$155.84	$781.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $80.15 / $265.50	Professional		$62.47	$80.15	$265.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $123.30 / $169.53	Professional		$107.88	$123.30	$169.53
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $180.94	Professional		$57.54	$82.20	$180.94