Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $89.55 / $223.00	Facility		$89.55	$89.55	$223.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $89.55 / $95.21	Professional		$75.18	$89.55	$95.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $183.40 / $475.18	Facility		$156.56	$183.40	$475.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $82.80 / $216.74	Professional		$79.17	$82.80	$216.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $166.73 / $225.09	Facility		$114.92	$166.73	$225.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $150.06 / $357.00	Professional		$108.37	$150.06	$357.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $172.39	Facility		$112.36	$112.36	$172.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $138.63	Professional		$82.02	$82.02	$138.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $112.36	Professional		$82.02	$112.36	$112.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $97.26 / $127.51	Professional		$70.73	$97.26	$127.51
United Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $77.52 / $105.83	Professional		$50.75	$77.52	$105.83