Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.44 / $92.44 / $92.44	Facility		$92.44	$92.44	$92.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $92.44 / $123.94	Professional		$86.15	$92.44	$123.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $216.40 / $346.24	Facility		$157.02	$216.40	$346.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $128.13 / $284.42	Professional		$124.50	$128.13	$284.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $122.54 / $181.78	Facility		$15.58	$122.54	$181.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $116.01 / $224.25	Professional		$14.02	$116.01	$224.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $192.19	Facility		$111.50	$111.50	$192.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $193.50	Professional		$94.78	$111.50	$193.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $126.58	Facility		$111.50	$111.50	$126.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Professional		$111.50	$111.50	$111.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $135.52 / $188.22	Professional		$90.34	$135.52	$188.22
United Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $87.36 / $137.62	Professional		$57.41	$87.36	$137.62