Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $240.00	Facility		$83.52	$83.52	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $83.52 / $103.56	Professional		$66.80	$83.52	$103.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $171.04 / $443.15	Facility		$146.01	$171.04	$443.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $81.20 / $202.13	Professional		$75.84	$81.20	$202.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $155.49 / $209.91	Facility		$104.03	$155.49	$209.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $139.94 / $332.94	Professional		$101.07	$139.94	$332.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $180.62	Facility		$86.66	$86.66	$180.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $110.71	Professional		$63.26	$63.26	$110.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $86.66	Professional		$63.26	$86.66	$86.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $90.69 / $118.90	Professional		$65.95	$90.69	$118.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $73.01 / $104.25	Professional		$51.71	$73.01	$104.25