Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $210.23 / $376.45	Facility		$115.38	$210.23	$376.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $111.74 / $329.51	Professional		$97.78	$111.74	$329.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $132.00 / $216.29	Facility		$107.92	$132.00	$216.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $75.45 / $195.61	Professional		$60.36	$75.45	$195.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $158.88 / $201.66	Facility		$122.22	$158.88	$201.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $165.00 / $293.33	Professional		$158.88	$165.00	$293.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $139.02 / $697.48	Facility		$125.75	$139.02	$697.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $93.97 / $295.70	Professional		$62.08	$93.97	$295.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $154.11 / $697.48	Facility		$125.75	$154.11	$697.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $76.93 / $295.70	Professional		$62.08	$76.93	$295.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $110.00 / $151.25	Professional		$96.25	$110.00	$151.25
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $166.74	Professional		$51.33	$73.33	$166.74