Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $179.26 / $270.00	Facility		$76.42	$179.26	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $76.42 / $90.74	Professional		$47.75	$76.42	$90.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $105.07 / $169.04	Facility		$84.34	$105.07	$169.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $104.79	Professional		$39.86	$39.86	$104.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $95.52 / $128.94	Facility		$74.95	$95.52	$128.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $124.18 / $128.94	Professional		$81.19	$124.18	$128.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $98.35 / $325.97	Facility		$62.09	$98.35	$325.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $64.79 / $137.32	Professional		$43.75	$64.79	$137.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $98.35 / $369.77	Facility		$52.79	$98.35	$369.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $51.41 / $108.42	Professional		$43.75	$51.41	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $78.80 / $114.62	Professional		$71.64	$78.80	$114.62
United Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $95.52 / $95.52	Facility		$55.40	$95.52	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $57.31 / $118.98	Professional		$40.11	$57.31	$118.98