Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $113.36 / $332.00	Facility		$113.36	$113.36	$332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $113.36 / $120.53	Professional		$96.43	$113.36	$120.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.18 / $232.16 / $601.49	Facility		$198.18	$232.16	$601.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $105.61 / $274.36	Professional		$101.55	$105.61	$274.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $211.05 / $284.92	Facility		$158.29	$211.05	$284.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $198.96 / $451.90	Professional		$143.69	$198.96	$451.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $259.07	Facility		$144.01	$144.01	$259.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $175.48	Professional		$105.13	$105.13	$175.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.00 / $144.01	Professional		$105.13	$144.00	$144.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $123.10 / $161.38	Professional		$89.52	$123.10	$161.38
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $98.12 / $145.79	Professional		$65.09	$98.12	$145.79