Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $229.15 / $416.46	Facility		$102.63	$229.15	$416.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $102.63 / $284.14	Professional		$67.98	$102.63	$284.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $138.55 / $227.03	Facility		$113.28	$138.55	$227.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $82.35 / $184.72	Professional		$63.35	$82.35	$184.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $147.53 / $192.44	Facility		$128.29	$147.53	$192.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $166.78 / $280.77	Professional		$128.29	$166.78	$280.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.01 / $145.93 / $732.16	Facility		$132.01	$145.93	$732.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $112.48 / $248.74	Professional		$65.22	$112.48	$248.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $132.01 / $222.77 / $540.04	Facility		$132.01	$222.77	$540.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $115.57 / $248.74	Professional		$65.22	$115.57	$248.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $115.46 / $158.76	Professional		$101.03	$115.46	$158.76
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $76.97 / $186.92	Professional		$53.88	$76.97	$186.92