Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $85.54 / $257.85	Facility		$58.28	$85.54	$257.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $120.00 / $328.07	Professional		$92.18	$120.00	$328.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.11 / $240.41 / $667.81	Facility		$154.11	$240.41	$667.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $169.94	Professional		$100.80	$100.80	$169.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $56.87 / $85.87	Facility		$56.87	$56.87	$85.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $56.87 / $76.77	Professional		$56.87	$56.87	$76.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $169.11	Professional		$115.07	$115.07	$169.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $101.68 / $209.20	Facility		$24.43	$101.68	$209.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $115.07 / $169.11	Professional		$92.18	$115.07	$169.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $121.23 / $137.97	Professional		$97.60	$121.23	$137.97