Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $288.58 / $472.78	Facility		$122.80	$288.58	$472.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $157.34 / $221.03	Professional		$76.75	$157.34	$221.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.54 / $168.85 / $271.64	Facility		$135.54	$168.85	$271.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $61.40 / $128.24	Professional		$46.48	$61.40	$128.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $161.18 / $253.28	Facility		$130.47	$161.18	$253.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $199.55 / $368.40	Professional		$130.47	$199.55	$368.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $158.05 / $523.85	Facility		$99.78	$158.05	$523.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $99.78 / $220.96	Professional		$70.17	$99.78	$220.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $158.05 / $593.77	Facility		$99.78	$158.05	$593.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $80.00 / $99.78	Professional		$48.33	$80.00	$99.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $84.43 / $84.43	Professional		$84.43	$84.43	$84.43
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $184.20	Professional		$64.47	$92.10	$184.20