Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $186.00 / $252.80	Facility		$80.90	$186.00	$252.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $82.92 / $284.45	Professional		$80.90	$82.92	$284.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $109.21 / $178.95	Facility		$89.29	$109.21	$178.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $52.58 / $299.45	Professional		$40.45	$52.58	$299.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $131.46 / $166.85	Facility		$101.12	$131.46	$166.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $136.51 / $242.69	Professional		$131.46	$136.51	$242.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $115.03 / $577.11	Facility		$104.05	$115.03	$577.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $88.66 / $220.40	Professional		$46.23	$88.66	$220.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $127.52 / $577.11	Facility		$104.05	$127.52	$577.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $91.07 / $220.40	Professional		$46.23	$91.07	$220.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $91.00 / $125.13	Professional		$79.63	$91.00	$125.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.67 / $132.47	Professional		$42.47	$60.67	$132.47