Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $208.10 / $319.35	Facility		$95.90	$208.10	$319.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $144.00	Professional		$95.90	$96.86	$144.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.57 / $164.47 / $273.32	Facility		$103.57	$164.47	$273.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $110.01 / $169.48	Professional		$95.90	$110.01	$169.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $144.81	Facility		$95.90	$95.90	$144.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $129.47	Professional		$95.90	$95.90	$129.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $192.51	Facility		$90.47	$95.90	$192.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $220.66	Professional		$95.90	$95.90	$220.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $192.51	Facility		$90.47	$95.90	$192.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $240.00	Professional		$95.90	$95.90	$240.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $135.03 / $196.37	Professional		$105.49	$135.03	$196.37
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $163.38	Professional		$95.90	$101.65	$163.38