Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $70.33 / $184.00	Facility		$70.33	$70.33	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $70.33 / $99.11	Professional		$61.84	$70.33	$99.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.25 / $158.44 / $410.51	Facility		$135.25	$158.44	$410.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $76.13 / $187.25	Professional		$70.27	$76.13	$187.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $144.04 / $194.45	Facility		$107.20	$144.04	$194.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $141.80 / $308.42	Professional		$100.83	$141.80	$308.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $184.63	Facility		$99.25	$99.25	$184.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $119.77	Professional		$72.45	$72.45	$119.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $99.25 / $99.25	Professional		$72.45	$99.25	$99.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $84.01 / $110.14	Professional		$61.10	$84.01	$110.14
United Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $94.08 / $115.23	Facility		$56.45	$94.08	$115.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $71.86 / $96.25	Professional		$47.91	$71.86	$96.25