Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $91.80 / $280.00	Facility		$91.80	$91.80	$280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $95.34 / $146.71	Professional		$91.80	$95.34	$146.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $183.44 / $294.83	Facility		$156.44	$183.44	$294.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $114.37 / $291.85	Professional		$107.31	$114.37	$291.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $124.20 / $173.48	Facility		$14.75	$124.20	$173.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $110.59 / $212.35	Professional		$14.61	$110.59	$212.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $145.07	Facility		$120.30	$120.30	$145.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $196.50	Professional		$102.26	$120.30	$196.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $145.00	Facility		$120.30	$120.30	$145.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Professional		$120.30	$120.30	$120.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $92.00 / $132.67	Professional		$73.59	$92.00	$132.67
United Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $101.65 / $152.78	Professional		$61.11	$101.65	$152.78