Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $216.94 / $332.90	Facility		$99.97	$216.94	$332.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.96 / $256.33	Professional		$99.97	$100.96	$256.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $160.94 / $249.93	Facility		$107.97	$160.94	$249.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $173.10	Professional		$99.97	$99.97	$173.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $169.95	Facility		$99.97	$99.97	$169.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $134.96	Professional		$99.97	$99.97	$134.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $94.31 / $99.97	Facility		$94.31	$94.31	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $157.04	Professional		$99.97	$99.97	$157.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $98.83 / $205.44	Facility		$98.83	$98.83	$205.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $157.04	Professional		$99.97	$99.97	$157.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $124.96 / $144.73	Professional		$109.80	$124.96	$144.73
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $108.13	Professional		$99.97	$99.97	$108.13