Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $103.70 / $259.00	Facility		$103.70	$103.70	$259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $103.70 / $118.81	Professional		$90.76	$103.70	$118.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $212.39 / $550.28	Facility		$181.30	$212.39	$550.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $101.01 / $251.00	Professional		$94.19	$101.01	$251.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.81 / $193.08 / $260.66	Facility		$144.81	$193.08	$260.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $174.71 / $413.42	Professional		$126.18	$174.71	$413.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $227.48	Facility		$107.78	$107.78	$227.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $107.78	Professional		$78.68	$78.68	$107.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $107.78	Professional		$78.68	$107.78	$107.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $42.28 / $55.43	Professional		$30.75	$42.28	$55.43
United Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $85.28 / $154.46	Facility		$54.81	$85.28	$154.46
United Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $92.30 / $131.68	Professional		$64.22	$92.30	$131.68