Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $362.99 / $533.44	Facility		$173.53	$362.99	$533.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $118.58 / $389.87	Professional		$108.46	$118.58	$389.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.69 / $156.18 / $255.92	Facility		$127.69	$156.18	$255.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $88.27 / $214.25	Professional		$70.62	$88.27	$214.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $180.76 / $216.92	Facility		$144.61	$180.76	$216.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.99 / $195.22 / $347.06	Professional		$187.99	$195.22	$347.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $182.36 / $825.32	Facility		$139.22	$182.36	$825.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $126.83 / $280.25	Professional		$66.20	$126.83	$280.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $246.28 / $493.50	Facility		$138.13	$246.28	$493.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $123.15 / $295.58	Professional		$66.20	$123.15	$295.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $130.15 / $178.95	Professional		$113.88	$130.15	$178.95
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $144.61 / $216.92	Professional		$86.77	$144.61	$216.92