Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.42 / $85.42 / $85.42	Facility		$85.42	$85.42	$85.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $85.42 / $149.25	Professional		$81.41	$85.42	$149.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $199.96 / $319.94	Facility		$145.09	$199.96	$319.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $129.10 / $271.94	Professional		$109.73	$129.10	$271.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $113.84 / $182.90	Facility		$13.72	$113.84	$182.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $113.76 / $215.05	Professional		$13.15	$113.76	$215.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $184.18	Facility		$100.30	$100.30	$184.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $172.13	Professional		$85.26	$100.30	$172.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $120.98	Facility		$100.30	$100.30	$120.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Professional		$100.30	$100.30	$100.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $136.53 / $189.63	Professional		$91.02	$136.53	$189.63
United Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $85.28 / $129.10	Professional		$54.31	$85.28	$129.10