Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $87.58 / $187.00	Facility		$87.58	$87.58	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $87.58 / $138.15	Professional		$78.38	$87.58	$138.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $197.30 / $511.18	Facility		$168.42	$197.30	$511.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $97.21 / $233.16	Professional		$87.50	$97.21	$233.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $179.36 / $242.14	Facility		$134.52	$179.36	$242.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $161.77 / $384.05	Professional		$116.83	$161.77	$384.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $211.85	Facility		$113.25	$113.25	$211.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $144.68	Professional		$82.67	$82.67	$144.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $113.25	Professional		$82.67	$113.25	$113.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.63 / $137.17	Professional		$76.09	$104.63	$137.17
United Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $89.48 / $122.89	Professional		$59.66	$89.48	$122.89