Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $300.63 / $411.13	Facility		$130.00	$300.63	$411.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $361.40	Professional		$130.00	$130.00	$361.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $232.33	Professional		$137.80	$137.80	$232.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $96.95 / $159.97	Facility		$96.95	$96.95	$159.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $96.95 / $96.95	Professional		$96.95	$96.95	$96.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $217.33	Professional		$137.80	$137.80	$217.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $217.33	Professional		$137.80	$137.80	$217.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.57 / $371.11 / $430.49	Professional		$326.57	$371.11	$430.49
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $356.60	Professional		$332.96	$332.96	$356.60