Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $136.71 / $337.00	Facility		$136.71	$136.71	$337.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $136.71 / $145.36	Professional		$91.94	$136.71	$145.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $279.98 / $725.41	Facility		$239.00	$279.98	$725.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $124.17 / $330.88	Professional		$111.80	$124.17	$330.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.27 / $254.53 / $343.62	Facility		$162.27	$254.53	$343.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $229.08 / $545.00	Professional		$165.44	$229.08	$545.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $240.94	Facility		$119.29	$119.29	$240.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $211.64	Professional		$87.08	$87.08	$211.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $119.29 / $119.29	Professional		$87.08	$119.29	$119.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $148.47 / $194.65	Professional		$107.98	$148.47	$194.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $114.77 / $158.72	Professional		$71.73	$114.77	$158.72