Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $93.01 / $93.01	Facility		$93.01	$93.01	$93.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $93.01 / $169.48	Professional		$92.44	$93.01	$169.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $217.71 / $348.34	Facility		$157.97	$217.71	$348.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $160.15 / $271.85	Professional		$140.29	$160.15	$271.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $141.25 / $226.91	Facility		$17.42	$141.25	$226.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $130.63 / $279.70	Professional		$14.81	$130.63	$279.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $228.48	Facility		$115.51	$115.51	$228.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $205.50	Professional		$98.18	$115.51	$205.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Facility		$115.51	$115.51	$151.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Professional		$115.51	$115.51	$151.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $188.21 / $271.41	Professional		$150.56	$188.21	$271.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $101.81 / $160.15	Professional		$61.44	$101.81	$160.15