Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.75 / $442.75 / $442.75	Facility		$442.75	$442.75	$442.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $129.81 / $230.00	Professional		$76.19	$129.81	$230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $92.31 / $217.12	Professional		$71.56	$92.31	$217.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $158.13 / $215.63	Facility		$143.75	$158.13	$215.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $186.88 / $236.74	Professional		$143.75	$186.88	$236.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.75 / $302.75 / $302.75	Facility		$302.75	$302.75	$302.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $130.79 / $299.31	Professional		$65.70	$130.79	$299.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.75 / $302.75 / $302.75	Facility		$302.75	$302.75	$302.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $130.79 / $299.31	Professional		$65.70	$130.79	$299.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $118.59 / $140.15	Professional		$107.81	$118.59	$140.15
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $143.75 / $261.77	Professional		$86.25	$143.75	$261.77