Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $181.04 / $329.40	Facility		$61.12	$181.04	$329.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $134.83 / $232.04	Professional		$107.25	$134.83	$232.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $309.89 / $860.80	Facility		$198.65	$309.89	$860.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $135.08 / $233.90	Professional		$135.08	$135.08	$233.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $69.25 / $114.26	Facility		$69.25	$69.25	$114.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $69.25 / $93.49	Professional		$69.25	$69.25	$93.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $222.38	Professional		$148.32	$148.32	$222.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $49.01 / $167.23	Facility		$29.94	$49.01	$167.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $222.38	Professional		$148.32	$148.32	$222.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $136.31 / $206.42	Professional		$107.10	$136.31	$206.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $149.65 / $173.48	Professional		$125.81	$149.65	$173.48