Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $187.00	Facility		$97.94	$97.94	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $100.88	Professional		$97.94	$97.94	$100.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $154.84 / $244.85	Facility		$97.94	$154.84	$244.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $111.84 / $190.16	Professional		$97.94	$111.84	$190.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $166.50	Facility		$97.94	$97.94	$166.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $132.22	Professional		$97.94	$97.94	$132.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $92.40 / $97.94	Facility		$92.40	$92.40	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $138.59	Professional		$97.94	$97.94	$138.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $175.44 / $175.44	Facility		$175.44	$175.44	$175.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $177.95	Professional		$97.94	$97.94	$177.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $122.42 / $151.08	Professional		$100.17	$122.42	$151.08
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $121.54	Professional		$97.94	$97.94	$121.54