Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $84.42 / $413.83	Facility		$41.52	$84.42	$413.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $122.80 / $145.53	Professional		$96.81	$122.80	$145.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.68 / $251.49 / $651.60	Facility		$214.68	$251.49	$651.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $122.25 / $300.41	Professional		$114.54	$122.25	$300.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $228.63 / $308.64	Facility		$168.39	$228.63	$308.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $205.77 / $489.54	Professional		$148.61	$205.77	$489.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $263.11	Facility		$125.61	$125.61	$263.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $153.22 / $193.98	Professional		$91.70	$153.22	$193.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $125.61 / $125.61	Professional		$91.70	$125.61	$125.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $156.78 / $205.54	Professional		$114.02	$156.78	$205.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $107.36 / $151.10	Professional		$75.45	$107.36	$151.10