Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $121.72 / $280.00	Facility		$121.72	$121.72	$280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $121.72 / $160.47	Professional		$117.49	$121.72	$160.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.06 / $274.20 / $710.42	Facility		$234.06	$274.20	$710.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $126.97 / $324.05	Professional		$124.89	$126.97	$324.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.69 / $249.27 / $336.51	Facility		$179.69	$249.27	$336.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.03 / $224.34 / $533.74	Professional		$162.03	$224.34	$533.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $275.97	Facility		$166.47	$166.47	$275.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $207.27	Professional		$121.52	$121.52	$207.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $166.47	Professional		$121.52	$166.47	$166.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $145.40 / $190.63	Professional		$105.75	$145.40	$190.63
United Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $124.36 / $162.52	Professional		$82.91	$124.36	$162.52