Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.12 / $112.12 / $375.00	Facility		$112.12	$112.12	$375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $112.12 / $130.63	Professional		$99.10	$112.12	$130.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $229.61 / $594.91	Facility		$196.01	$229.61	$594.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $114.03 / $275.52	Professional		$101.82	$114.03	$275.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $208.74 / $281.80	Facility		$156.56	$208.74	$281.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $188.87 / $446.95	Professional		$136.41	$188.87	$446.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $245.93	Facility		$147.05	$147.05	$245.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $173.56	Professional		$107.35	$107.35	$173.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $147.05 / $147.05	Professional		$107.35	$147.05	$147.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $121.74 / $159.61	Professional		$88.54	$121.74	$159.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $99.79 / $140.86	Professional		$69.42	$99.79	$140.86