Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $115.45 / $283.00	Facility		$115.45	$115.45	$283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $115.45 / $160.19	Professional		$111.04	$115.45	$160.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.02 / $260.08 / $673.85	Facility		$222.02	$260.08	$673.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $133.38 / $307.37	Professional		$118.47	$133.38	$307.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.33 / $236.44 / $319.19	Facility		$177.33	$236.44	$319.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $212.80 / $506.27	Professional		$153.69	$212.80	$506.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $291.07	Facility		$138.76	$138.76	$291.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $177.27	Professional		$101.29	$101.29	$177.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $138.76	Professional		$101.29	$138.76	$138.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $137.91 / $180.81	Professional		$100.30	$137.91	$180.81
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $251.68 / $296.08	Facility		$251.68	$251.68	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $117.96 / $170.72	Professional		$78.64	$117.96	$170.72