Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $96.76 / $285.00	Facility		$96.76	$96.76	$285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $96.76 / $128.03	Professional		$86.76	$96.76	$128.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.15 / $198.15 / $513.40	Facility		$169.15	$198.15	$513.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $105.45 / $237.78	Professional		$87.88	$105.45	$237.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.11 / $185.54 / $252.20	Facility		$135.11	$185.54	$252.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $180.14 / $385.72	Professional		$126.10	$180.14	$385.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $281.47	Facility		$116.53	$116.53	$281.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $149.79	Professional		$85.07	$85.07	$149.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $116.53 / $116.53	Professional		$85.07	$116.53	$116.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $105.07 / $137.74	Professional		$76.41	$105.07	$137.74
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $89.87 / $135.24	Professional		$59.92	$89.87	$135.24