Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.29 / $287.00 / $913.52	Facility		$125.29	$287.00	$913.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $176.13 / $216.00	Professional		$101.96	$176.13	$216.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $367.00 / $371.00	Facility		$367.00	$367.00	$371.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $300.00 / $491.70	Professional		$177.96	$300.00	$491.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $58.69 / $114.17	Facility		$37.72	$58.69	$114.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $62.83 / $114.17	Professional		$42.18	$62.83	$114.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $112.96 / $112.96	Facility		$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $519.54 / $927.94	Facility		$112.96	$519.54	$927.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $221.79 / $397.10	Professional		$133.18	$221.79	$397.10