Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $83.60 / $204.00	Facility		$83.60	$83.60	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $83.60 / $108.15	Professional		$76.52	$83.60	$108.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $171.22 / $443.60	Facility		$146.16	$171.22	$443.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $84.03 / $202.34	Professional		$75.94	$84.03	$202.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.74 / $155.65 / $210.13	Facility		$116.74	$155.65	$210.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $140.09 / $333.28	Professional		$101.17	$140.09	$333.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $173.65	Facility		$86.21	$86.21	$173.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $110.13	Professional		$62.93	$62.93	$110.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $86.21	Professional		$62.93	$86.21	$86.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $90.80 / $119.04	Professional		$66.04	$90.80	$119.04
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $74.25 / $103.71	Professional		$51.77	$74.25	$103.71