Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $130.91 / $334.00	Facility		$130.91	$130.91	$334.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $130.91 / $145.54	Professional		$108.52	$130.91	$145.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $268.13 / $694.69	Facility		$228.88	$268.13	$694.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $119.68 / $316.87	Professional		$117.12	$119.68	$316.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.88 / $243.75 / $329.06	Facility		$174.88	$243.75	$329.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $219.38 / $521.91	Professional		$158.44	$219.38	$521.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $260.35	Facility		$142.94	$142.94	$260.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $182.62	Professional		$104.35	$104.35	$182.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $142.94	Professional		$104.35	$142.94	$142.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $142.17 / $186.39	Professional		$103.40	$142.17	$186.39
United Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $112.73 / $154.72	Professional		$75.08	$112.73	$154.72