Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $37.15 / $213.62	Facility		$7.48	$37.15	$213.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $125.66 / $209.35	Professional		$115.80	$125.66	$209.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.69 / $257.36 / $666.79	Facility		$219.69	$257.36	$666.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $127.31 / $310.16	Professional		$114.14	$127.31	$310.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.47 / $233.96 / $315.85	Facility		$175.47	$233.96	$315.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $211.70 / $500.96	Professional		$152.88	$211.70	$500.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $275.64	Facility		$130.59	$130.59	$275.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $194.54	Professional		$95.33	$130.59	$194.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $130.59 / $176.32	Facility		$20.67	$130.59	$176.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $130.59	Professional		$95.33	$130.59	$130.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $171.60 / $224.96	Professional		$124.80	$171.60	$224.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $111.85 / $159.57	Professional		$77.81	$111.85	$159.57