Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $352.23	Facility		$104.52	$104.52	$352.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $104.52 / $119.74	Professional		$91.47	$104.52	$119.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.72 / $214.05 / $554.58	Facility		$182.72	$214.05	$554.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $106.32 / $256.85	Professional		$76.61	$106.32	$256.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $194.59 / $262.70	Facility		$145.94	$194.59	$262.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $176.08 / $416.66	Professional		$127.17	$176.08	$416.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $229.26	Facility		$129.63	$129.63	$229.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $161.80	Professional		$94.64	$94.64	$161.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $129.63 / $129.63	Professional		$94.64	$129.63	$129.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $70.48 / $92.40	Professional		$51.26	$70.48	$92.40
United Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $96.22 / $130.66	Professional		$64.72	$96.22	$130.66