Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $307.00	Facility		$94.69	$94.69	$307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $94.69 / $139.10	Professional		$87.26	$94.69	$139.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $193.92 / $502.43	Facility		$165.54	$193.92	$502.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $103.20 / $232.45	Professional		$86.00	$103.20	$232.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $176.29 / $237.99	Facility		$132.22	$176.29	$237.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $176.29 / $377.47	Professional		$114.59	$176.29	$377.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $224.58	Facility		$110.16	$110.16	$224.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $140.72	Professional		$80.42	$80.42	$140.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $110.16	Professional		$80.42	$110.16	$110.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $102.82 / $134.80	Professional		$74.78	$102.82	$134.80
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $87.95 / $132.36	Professional		$58.64	$87.95	$132.36