Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.89 / $118.89 / $636.00	Facility		$118.89	$118.89	$636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $136.01 / $207.59	Professional		$118.89	$136.01	$207.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $244.92 / $634.54	Facility		$209.07	$244.92	$634.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $237.45 / $391.59	Professional		$196.24	$237.45	$391.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.99 / $222.94 / $311.70	Facility		$166.99	$222.94	$311.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $222.65 / $476.74	Professional		$155.86	$222.65	$476.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $305.58	Facility		$278.10	$278.10	$305.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $298.13	Professional		$203.01	$203.01	$298.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.10 / $278.10	Professional		$203.01	$278.10	$278.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $198.00 / $259.57	Professional		$144.00	$198.00	$259.57
United Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $199.18 / $288.66	Professional		$124.16	$199.18	$288.66