Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $284.62 / $436.76	Facility		$131.16	$284.62	$436.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $132.47 / $367.07	Professional		$131.15	$132.47	$367.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $229.07 / $376.43	Facility		$141.65	$229.07	$376.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $132.04 / $261.72	Professional		$131.16	$132.04	$261.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $229.53	Facility		$131.16	$131.16	$229.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $177.07	Professional		$131.16	$131.16	$177.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $131.16	Facility		$123.73	$123.73	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $524.91	Professional		$131.16	$131.16	$524.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $117.01 / $117.01	Facility		$117.01	$117.01	$117.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $524.91	Professional		$131.16	$131.16	$524.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $167.81 / $191.45	Professional		$145.24	$167.81	$191.45
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.01 / $162.55	Professional		$131.16	$146.01	$162.55