Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $225.60 / $365.00	Facility		$96.00	$225.60	$365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $173.23	Professional		$96.00	$96.00	$173.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $129.60 / $212.36	Facility		$105.96	$129.60	$212.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $55.06 / $156.00	Professional		$18.11	$55.06	$156.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $156.00 / $198.00	Facility		$120.00	$156.00	$198.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $162.00 / $288.00	Professional		$156.00	$162.00	$288.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.09 / $136.50 / $684.84	Facility		$107.09	$136.50	$684.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $70.20 / $261.19	Professional		$54.98	$70.20	$261.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $107.09 / $136.50 / $684.84	Facility		$107.09	$136.50	$684.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $70.20 / $261.19	Professional		$54.98	$70.20	$261.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $108.00 / $148.50	Professional		$94.50	$108.00	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $158.47	Professional		$50.40	$72.00	$158.47