Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $128.04 / $312.00	Facility		$128.04	$128.04	$312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $128.04 / $170.07	Professional		$124.80	$128.04	$170.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $288.45 / $747.36	Facility		$246.23	$288.45	$747.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $146.40 / $340.89	Professional		$127.93	$146.40	$340.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.67 / $262.23 / $354.01	Facility		$196.67	$262.23	$354.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $236.01 / $561.49	Professional		$170.45	$236.01	$561.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $316.45	Facility		$184.91	$184.91	$316.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $218.03	Professional		$134.97	$134.97	$218.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.91 / $184.91	Professional		$134.97	$184.91	$184.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $152.96 / $200.53	Professional		$111.24	$152.96	$200.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $130.82 / $187.40	Professional		$87.21	$130.82	$187.40