Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $187.45 / $340.62	Facility		$86.38	$187.45	$340.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $92.02 / $1,535.43	Professional		$86.37	$92.02	$1,535.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $139.07 / $246.18	Facility		$93.29	$139.07	$246.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $172.37	Professional		$86.38	$86.38	$172.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $146.85	Facility		$86.38	$86.38	$146.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $116.61	Professional		$86.38	$86.38	$116.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $86.38	Facility		$81.48	$81.48	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $625.89	Professional		$86.38	$86.38	$625.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $86.38	Facility		$81.48	$81.48	$86.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $625.89	Professional		$86.38	$86.38	$625.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $113.88 / $131.09	Professional		$99.45	$113.88	$131.09
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $113.16	Professional		$86.38	$86.38	$113.16