Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $149.84 / $513.00	Facility		$149.84	$149.84	$513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $149.84 / $214.19	Professional		$134.35	$149.84	$214.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.95 / $306.87 / $795.06	Facility		$261.95	$306.87	$795.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $163.19 / $368.24	Professional		$136.00	$163.19	$368.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.23 / $278.97 / $376.61	Facility		$209.23	$278.97	$376.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.33 / $278.97 / $597.33	Professional		$181.33	$278.97	$597.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $376.18	Facility		$174.32	$174.32	$376.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $222.69	Professional		$127.25	$127.25	$222.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $174.32	Professional		$127.25	$174.32	$174.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $162.72 / $213.32	Professional		$118.34	$162.72	$213.32
United Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $139.18 / $202.25	Professional		$92.78	$139.18	$202.25