Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.07 / $123.29 / $226.83	Facility		$123.07	$123.29	$226.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $123.07 / $188.35	Professional		$110.25	$123.07	$188.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $145.55 / $214.00	Professional		$112.32	$145.55	$214.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $112.63 / $179.43	Facility		$38.90	$112.63	$179.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $95.30 / $142.22	Professional		$37.59	$95.30	$142.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $117.48 / $148.80	Facility		$109.82	$117.48	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $172.21 / $278.31	Professional		$121.72	$172.21	$278.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $117.48 / $148.80	Facility		$109.82	$117.48	$148.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $173.87 / $277.86	Professional		$123.72	$173.87	$277.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $40.43 / $58.06	Professional		$28.14	$40.43	$58.06
United Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $154.11 / $217.38	Professional		$112.50	$154.11	$217.38