Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $168.59 / $168.59	Facility		$168.59	$168.59	$168.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $177.58 / $325.57	Professional		$168.59	$177.58	$325.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $392.36 / $627.78	Facility		$284.70	$392.36	$627.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $241.32 / $440.67	Professional		$170.34	$241.32	$440.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $221.29 / $335.83	Facility		$27.68	$221.29	$335.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $211.87 / $387.72	Professional		$26.66	$211.87	$387.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $391.26	Facility		$244.43	$244.43	$391.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $207.77 / $358.88	Professional		$178.43	$207.77	$358.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $244.43 / $244.43	Professional		$207.77	$244.43	$244.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.53 / $224.42 / $323.63	Professional		$179.53	$224.42	$323.63
United Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $155.19 / $235.39	Professional		$104.40	$155.19	$235.39