Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $133.69 / $268.00	Facility		$133.69	$133.69	$268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $133.69 / $189.25	Professional		$112.57	$133.69	$189.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.12 / $301.20 / $780.39	Facility		$257.12	$301.20	$780.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $137.19 / $355.96	Professional		$135.22	$137.19	$355.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $273.82 / $369.66	Facility		$178.87	$273.82	$369.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $246.44 / $586.29	Professional		$177.98	$246.44	$586.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $291.70	Facility		$194.51	$194.51	$291.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $227.67	Professional		$141.99	$141.99	$227.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $194.51	Professional		$141.99	$194.51	$194.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $159.73 / $209.40	Professional		$116.16	$159.73	$209.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $136.60 / $173.81	Professional		$91.07	$136.60	$173.81