Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.84 / $103.84 / $103.84	Facility		$103.84	$103.84	$103.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $103.84 / $188.43	Professional		$102.78	$103.84	$188.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $224.23 / $358.76	Facility		$162.69	$224.23	$358.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $157.00 / $325.37	Professional		$152.99	$157.00	$325.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $23.04 / $212.90	Facility		$16.86	$23.04	$212.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $23.04 / $212.90	Professional		$14.58	$23.04	$212.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $206.23	Facility		$112.00	$112.73	$206.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.00 / $221.25	Professional		$95.82	$112.00	$221.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $167.97	Facility		$112.00	$112.73	$167.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $112.73 / $112.73	Professional		$15.59	$112.73	$112.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $164.66 / $228.70	Professional		$109.77	$164.66	$228.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $91.25 / $153.86	Professional		$56.16	$91.25	$153.86