Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $101.15 / $990.09	Facility		$97.99	$101.15	$990.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $101.15 / $120.62	Professional		$84.98	$101.15	$120.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.82 / $207.14 / $536.67	Facility		$176.82	$207.14	$536.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $103.33 / $244.80	Professional		$91.87	$103.33	$244.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $188.31 / $254.22	Facility		$141.22	$188.31	$254.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $180.71 / $403.21	Professional		$130.51	$180.71	$403.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $235.30	Facility		$121.82	$121.82	$235.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $125.83	Professional		$88.93	$88.93	$125.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.82 / $121.82	Professional		$88.93	$121.82	$121.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $132.00 / $173.05	Professional		$96.00	$132.00	$173.05
United Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $90.02 / $132.63	Professional		$62.63	$90.02	$132.63