Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $93.55 / $279.00	Facility		$93.55	$93.55	$279.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $93.55 / $116.83	Professional		$79.90	$93.55	$116.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $79.01 / $191.58	Professional		$60.78	$79.01	$191.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $147.37 / $218.89	Facility		$76.76	$147.37	$218.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.11 / $191.58 / $315.55	Professional		$162.11	$191.58	$315.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $48.11 / $61.34	Professional		$37.18	$48.11	$61.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $72.86 / $93.55	Professional		$49.01	$72.86	$93.55