Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $254.67 / $364.46	Facility		$117.36	$254.67	$364.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $293.39	Professional		$117.36	$118.53	$293.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.75 / $204.97 / $336.82	Facility		$126.75	$204.97	$336.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $203.22	Professional		$117.36	$117.36	$203.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $199.51	Facility		$117.36	$117.36	$199.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $158.44	Professional		$117.36	$117.36	$158.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $117.36	Facility		$110.72	$110.72	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $175.67	Professional		$117.36	$117.36	$175.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $115.47 / $351.27	Facility		$115.47	$115.47	$351.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $175.67	Professional		$117.36	$117.36	$175.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $146.69 / $169.92	Professional		$128.90	$146.69	$169.92
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $163.26	Professional		$117.36	$117.36	$163.26