Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $165.82 / $250.00	Facility		$70.56	$165.82	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $70.56 / $127.33	Professional		$49.68	$70.56	$127.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $95.26 / $156.09	Facility		$77.88	$95.26	$156.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $45.86 / $121.07	Professional		$35.28	$45.86	$121.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $114.66 / $145.53	Facility		$88.20	$114.66	$145.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $119.07 / $211.68	Professional		$114.66	$119.07	$211.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $100.33 / $503.36	Facility		$78.70	$100.33	$503.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $47.41 / $192.17	Professional		$40.29	$47.41	$192.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $100.33 / $503.36	Facility		$78.70	$100.33	$503.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $47.41 / $192.17	Professional		$40.29	$47.41	$192.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $79.38 / $109.14	Professional		$69.45	$79.38	$109.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $116.49	Professional		$37.04	$52.92	$116.49