Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $242.00	Facility		$100.61	$100.61	$242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $100.61 / $118.09	Professional		$76.20	$100.61	$118.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $206.04 / $533.83	Facility		$175.88	$206.04	$533.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $91.38 / $243.50	Professional		$82.27	$91.38	$243.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $187.31 / $252.87	Facility		$121.75	$187.31	$252.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $168.58 / $401.07	Professional		$121.75	$168.58	$401.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $186.10	Facility		$89.11	$89.11	$186.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $113.84	Professional		$65.05	$65.05	$113.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $89.11	Professional		$65.05	$89.11	$89.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $109.25 / $143.22	Professional		$79.45	$109.25	$143.22
United Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $90.80 / $118.90	Professional		$58.41	$90.80	$118.90