Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $99.69 / $309.00	Facility		$99.69	$99.69	$309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $99.69 / $117.58	Professional		$91.86	$99.69	$117.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.28 / $204.16 / $528.96	Facility		$174.28	$204.16	$528.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $99.32 / $241.28	Professional		$92.98	$99.32	$241.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $185.60 / $259.83	Facility		$139.19	$185.60	$259.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $185.57 / $397.41	Professional		$129.91	$185.57	$397.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $241.63	Facility		$120.06	$120.06	$241.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $153.38	Professional		$87.64	$87.64	$153.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $120.06	Professional		$87.64	$120.06	$120.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.74 / $108.27 / $141.94	Professional		$78.74	$108.27	$141.94
United Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $88.72 / $127.46	Professional		$61.73	$88.72	$127.46