Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $211.50 / $333.75	Facility		$99.14	$211.50	$333.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $146.82 / $314.19	Professional		$133.46	$146.82	$314.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $233.11 / $383.06	Facility		$144.15	$233.11	$383.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $128.04 / $210.21	Professional		$120.12	$128.04	$210.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $200.81	Facility		$133.47	$133.47	$200.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $180.18	Professional		$133.47	$133.47	$180.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $206.32	Professional		$131.13	$131.13	$206.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $205.54 / $299.97	Facility		$28.52	$205.54	$299.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $206.32	Professional		$131.13	$131.13	$206.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $166.83 / $193.53	Professional		$146.81	$166.83	$193.53
United Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $132.30 / $153.37	Professional		$111.23	$132.30	$153.37