Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $302.08 / $463.57	Facility		$139.21	$302.08	$463.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $139.21 / $177.50	Professional		$138.66	$139.21	$177.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $238.75 / $396.75	Facility		$150.35	$238.75	$396.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $155.91 / $232.52	Professional		$139.21	$155.91	$232.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $209.07	Facility		$139.21	$139.21	$209.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $187.93	Professional		$139.21	$139.21	$187.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $136.99 / $139.21	Facility		$131.33	$136.99	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $176.26	Professional		$139.21	$139.21	$176.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $136.99 / $175.99	Facility		$131.33	$136.99	$175.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $197.00	Professional		$139.21	$139.21	$197.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $159.47 / $197.50	Professional		$138.66	$159.47	$197.50
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $164.27	Professional		$139.21	$139.21	$164.27