Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $182.11 / $279.45	Facility		$67.14	$182.11	$279.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $186.65	Professional		$67.14	$67.14	$186.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $195.59 / $313.30	Facility		$103.70	$195.59	$313.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $125.32 / $198.82	Professional		$98.47	$125.32	$198.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.18 / $169.18 / $287.61	Facility		$169.18	$169.18	$287.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $125.32 / $169.18	Professional		$125.32	$125.32	$169.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $116.72	Professional		$47.60	$47.60	$116.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $116.72	Professional		$47.60	$47.60	$116.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $250.64 / $265.67	Professional		$175.44	$250.64	$265.67
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $61.14	Professional		$46.67	$46.67	$61.14