Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $79.63 / $179.00	Facility		$79.63	$79.63	$179.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $79.63 / $84.67	Professional		$71.28	$79.63	$84.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $163.08 / $422.51	Facility		$139.21	$163.08	$422.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $76.45 / $192.72	Professional		$72.31	$76.45	$192.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $148.25 / $200.14	Facility		$108.20	$148.25	$200.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $135.61 / $317.43	Professional		$96.36	$135.61	$317.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $164.75	Facility		$104.21	$104.21	$164.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $123.27	Professional		$76.06	$76.06	$123.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $104.20 / $104.21	Professional		$76.06	$104.20	$104.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $86.46 / $113.34	Professional		$62.88	$86.46	$113.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $68.93 / $97.86	Professional		$47.79	$68.93	$97.86