Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.71 / $144.71 / $144.71	Facility		$144.71	$144.71	$144.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $144.71 / $192.85	Professional		$133.97	$144.71	$192.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $267.44 / $427.90	Facility		$194.05	$267.44	$427.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $198.95 / $382.77	Professional		$172.42	$198.95	$382.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $27.10 / $195.11	Facility		$18.95	$27.10	$195.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $27.10 / $246.21	Professional		$18.45	$27.10	$246.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $278.62	Facility		$174.27	$174.27	$278.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $174.27 / $307.50	Professional		$148.13	$174.27	$307.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $174.27 / $174.27	Professional		$148.13	$174.27	$174.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $182.37 / $253.30	Professional		$121.58	$182.37	$253.30
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $116.71 / $172.42	Professional		$77.59	$116.71	$172.42