Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.91 / $153.22 / $326.89	Facility		$84.91	$153.22	$326.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $84.91 / $142.96	Professional		$84.91	$84.91	$142.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $116.75 / $187.84	Facility		$93.72	$116.75	$187.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $106.14	Professional		$42.46	$42.46	$106.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $106.14 / $143.29	Facility		$79.31	$106.14	$143.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $137.97 / $143.29	Professional		$90.22	$137.97	$143.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $109.28 / $450.88	Facility		$68.98	$109.28	$450.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $63.44 / $152.29	Professional		$41.00	$63.44	$152.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $109.28 / $450.88	Facility		$68.98	$109.28	$450.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $55.43 / $86.45	Professional		$41.00	$55.43	$86.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $95.53 / $131.35	Professional		$79.61	$95.53	$131.35
United Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $58.38 / $127.37	Professional		$38.06	$58.38	$127.37