Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $111.19 / $252.63	Facility		$84.49	$111.19	$252.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $252.63	Professional		$84.48	$84.49	$252.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $193.82 / $538.40	Facility		$124.25	$193.82	$538.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $119.71 / $174.77	Professional		$97.84	$119.71	$174.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.40 / $88.40 / $150.28	Facility		$88.40	$88.40	$150.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $88.40 / $88.40	Professional		$88.40	$88.40	$88.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $145.96	Professional		$92.77	$92.77	$145.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $215.53 / $215.53 / $255.64	Facility		$215.53	$215.53	$255.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $145.96	Professional		$92.77	$92.77	$145.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.98 / $224.26 / $237.71	Professional		$156.98	$224.26	$237.71
United Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $97.74 / $130.53	Professional		$78.69	$97.74	$130.53