Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $90.74 / $252.61	Facility		$74.95	$90.74	$252.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $74.95 / $99.18	Professional		$69.06	$74.95	$99.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $153.52 / $397.75	Facility		$131.05	$153.52	$397.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $81.59 / $184.21	Professional		$68.00	$81.59	$184.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $139.56 / $195.38	Facility		$104.67	$139.56	$195.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $139.56 / $298.83	Professional		$97.69	$139.56	$298.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $218.05	Facility		$90.28	$90.28	$218.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $115.33	Professional		$65.90	$65.90	$115.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $90.28	Professional		$65.90	$90.28	$90.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $81.40 / $106.71	Professional		$59.20	$81.40	$106.71
United Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $69.62 / $104.77	Professional		$46.42	$69.62	$104.77