Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $171.28 / $243.92	Facility		$78.93	$171.28	$243.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $80.00 / $178.82	Professional		$78.93	$80.00	$178.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.24 / $137.85 / $226.53	Facility		$85.24	$137.85	$226.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $136.66	Professional		$78.93	$78.93	$136.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $134.18	Facility		$78.93	$78.93	$134.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $106.56	Professional		$78.93	$78.93	$106.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $78.93	Facility		$74.47	$74.47	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $128.38	Professional		$78.93	$78.93	$128.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $78.93	Facility		$74.47	$74.47	$78.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $128.38	Professional		$78.93	$78.93	$128.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $99.67 / $114.44	Professional		$86.82	$99.67	$114.44
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $85.37	Professional		$78.93	$78.93	$85.37