Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $95.06 / $478.16	Facility		$95.06	$95.06	$478.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $95.06 / $161.08	Professional		$92.65	$95.06	$161.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.80 / $214.15 / $554.84	Facility		$182.80	$214.15	$554.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $107.12 / $255.80	Professional		$94.97	$107.12	$255.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $194.68 / $262.82	Facility		$146.01	$194.68	$262.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $176.14 / $416.85	Professional		$127.21	$176.14	$416.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $229.34	Facility		$67.73	$67.73	$229.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $100.76	Professional		$57.58	$57.58	$100.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $67.73	Professional		$57.58	$67.73	$67.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $128.74 / $168.78	Professional		$93.63	$128.74	$168.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $97.13 / $133.72	Professional		$64.75	$97.13	$133.72