Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $170.22	Facility		$145.49	$145.49	$170.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $149.85	Professional		$145.49	$145.49	$149.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $166.14 / $283.27	Professional		$145.49	$166.14	$283.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $219.69	Facility		$145.49	$145.49	$219.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $196.41	Professional		$145.49	$145.49	$196.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $137.25 / $145.49	Facility		$137.25	$137.25	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $205.88	Professional		$145.49	$145.49	$205.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $145.49 / $145.49	Facility		$137.25	$145.49	$145.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $210.32	Professional		$145.49	$145.49	$210.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $160.03 / $197.09	Professional		$135.93	$160.03	$197.09
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $185.94	Professional		$145.49	$145.49	$185.94