Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $95.09 / $226.00	Facility		$95.09	$95.09	$226.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $95.09 / $112.67	Professional		$72.67	$95.09	$112.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.24 / $194.74 / $504.56	Facility		$166.24	$194.74	$504.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $91.38 / $230.15	Professional		$86.37	$91.38	$230.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $177.04 / $239.00	Facility		$115.08	$177.04	$239.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $159.34 / $379.08	Professional		$115.08	$159.34	$379.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $197.71	Facility		$97.79	$97.79	$197.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $124.93	Professional		$71.39	$71.39	$124.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $97.79	Professional		$71.39	$97.79	$97.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.10 / $103.26 / $135.38	Professional		$75.10	$103.26	$135.38
United Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $74.61 / $141.63	Facility		$47.95	$74.61	$141.63
United Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $83.14 / $113.43	Professional		$56.65	$83.14	$113.43