Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $73.64 / $195.00	Facility		$73.64	$73.64	$195.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $73.64 / $110.40	Professional		$71.38	$73.64	$110.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $165.88 / $429.78	Facility		$141.60	$165.88	$429.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $87.42 / $196.04	Professional		$75.54	$87.42	$196.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $150.80 / $203.58	Facility		$113.10	$150.80	$203.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $149.96 / $322.89	Professional		$105.56	$149.96	$322.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $195.25	Facility		$97.54	$97.54	$195.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $124.61	Professional		$71.20	$71.20	$124.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $97.54	Professional		$71.20	$97.54	$97.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $87.95 / $115.31	Professional		$63.96	$87.95	$115.31
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $75.23 / $111.90	Professional		$50.16	$75.23	$111.90