Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.82 / $104.82 / $326.00	Facility		$104.82	$104.82	$326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $104.82 / $120.07	Professional		$91.72	$104.82	$120.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.25 / $214.67 / $556.17	Facility		$183.25	$214.67	$556.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $105.27 / $258.64	Professional		$76.66	$105.27	$258.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $195.15 / $263.45	Facility		$146.36	$195.15	$263.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $176.54 / $417.86	Professional		$127.50	$176.54	$417.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $229.86	Facility		$112.22	$112.22	$229.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $162.27	Professional		$81.92	$81.92	$162.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $112.22 / $112.22	Professional		$81.92	$112.22	$112.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $148.50 / $194.68	Professional		$108.00	$148.50	$194.68
United Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $94.23 / $131.05	Professional		$64.91	$94.23	$131.05