Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.12 / $375.00 / $894.00	Facility		$151.12	$375.00	$894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $175.94 / $398.71	Professional		$100.00	$175.94	$398.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $200.02 / $327.75	Facility		$163.53	$200.02	$327.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $92.60 / $256.87	Professional		$74.08	$92.60	$256.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $212.98 / $277.80	Facility		$185.20	$212.98	$277.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $240.76 / $405.24	Professional		$185.20	$240.76	$405.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $233.54 / $2,108.48	Facility		$171.11	$233.54	$2,108.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $140.16 / $403.16	Professional		$84.70	$140.16	$403.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $233.54 / $1,248.58	Facility		$171.11	$233.54	$1,248.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $140.16 / $403.16	Professional		$84.70	$140.16	$403.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $166.68 / $229.18	Professional		$145.84	$166.68	$229.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $242.61	Professional		$77.78	$111.12	$242.61