Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $92.31 / $166.87	Facility		$63.30	$92.31	$166.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $98.15 / $148.82	Professional		$66.78	$98.15	$148.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.01 / $171.44 / $281.72	Facility		$106.01	$171.44	$281.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $87.95 / $159.71	Professional		$87.95	$87.95	$159.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $98.16 / $134.79	Facility		$83.49	$98.16	$134.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.16 / $132.52	Professional		$83.49	$98.16	$132.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $113.68	Professional		$96.58	$96.58	$113.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $73.80 / $178.17	Facility		$29.67	$73.80	$178.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $113.68	Professional		$96.58	$96.58	$113.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $116.88 / $142.33	Professional		$91.83	$116.88	$142.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $97.44 / $112.96	Professional		$81.92	$97.44	$112.96