Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $214.79 / $460.62	Facility		$117.88	$214.79	$460.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $99.90 / $336.66	Professional		$87.41	$99.90	$336.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $134.86 / $220.98	Facility		$110.26	$134.86	$220.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $59.94 / $162.08	Professional		$49.95	$59.94	$162.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $156.09 / $187.31	Facility		$124.87	$156.09	$187.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $168.57 / $299.69	Professional		$162.33	$168.57	$299.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $142.05 / $712.67	Facility		$128.49	$142.05	$712.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $93.21 / $242.03	Professional		$57.13	$93.21	$242.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $142.05 / $712.67	Facility		$128.49	$142.05	$712.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $67.09 / $242.03	Professional		$57.13	$67.09	$242.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $112.38 / $154.52	Professional		$98.33	$112.38	$154.52
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $181.94	Professional		$52.45	$74.92	$181.94