Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.65 / $146.65 / $409.00	Facility		$146.65	$146.65	$409.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $146.65 / $193.50	Professional		$127.44	$146.65	$193.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $123.87 / $300.32	Professional		$95.29	$123.87	$300.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.34 / $231.02 / $343.12	Facility		$120.34	$231.02	$343.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $300.33 / $494.66	Professional		$254.12	$300.33	$494.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $75.42 / $96.16	Professional		$58.28	$75.42	$96.16
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $114.23 / $146.65	Professional		$76.84	$114.23	$146.65