Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $329.55 / $462.86	Facility		$108.90	$329.55	$462.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $92.29 / $106.15	Professional		$37.32	$92.29	$106.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $126.90 / $204.15	Facility		$101.86	$126.90	$204.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $56.97 / $140.99	Professional		$21.95	$56.97	$140.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $121.13 / $173.04	Facility		$87.96	$121.13	$173.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $149.97 / $276.86	Professional		$98.06	$149.97	$276.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $118.77 / $437.38	Facility		$74.98	$118.77	$437.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $73.48 / $223.26	Professional		$25.76	$73.48	$223.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $118.77 / $437.38	Facility		$74.98	$118.77	$437.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $72.58 / $223.26	Professional		$23.80	$72.58	$223.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $95.17 / $138.43	Professional		$63.45	$95.17	$138.43
United Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $99.13 / $115.36	Facility		$74.98	$99.13	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.39 / $170.22	Professional		$48.45	$69.39	$170.22