Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $300.66 / $554.54	Facility		$120.26	$300.66	$554.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.26 / $217.01	Professional		$100.00	$120.26	$217.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $162.36 / $266.04	Facility		$132.74	$162.36	$266.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $75.16 / $209.57	Professional		$60.13	$75.16	$209.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $195.43 / $248.04	Facility		$150.33	$195.43	$248.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $202.95 / $360.79	Professional		$195.43	$202.95	$360.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.88 / $189.56 / $1,832.42	Facility		$153.88	$189.56	$1,832.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $80.95 / $327.08	Professional		$68.84	$80.95	$327.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.88 / $189.56 / $1,013.46	Facility		$153.88	$189.56	$1,013.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $80.95 / $327.08	Professional		$68.84	$80.95	$327.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $135.30 / $186.03	Professional		$118.38	$135.30	$186.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $198.54	Professional		$63.14	$90.20	$198.54