Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.09 / $141.30 / $199.98	Facility		$109.09	$141.30	$199.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $109.09 / $165.28	Professional		$97.15	$109.09	$165.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.14 / $270.80 / $397.76	Professional		$232.14	$270.80	$397.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $84.46 / $152.25	Facility		$42.48	$84.46	$152.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $71.47 / $133.26	Professional		$41.29	$71.47	$133.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $130.11 / $134.63	Facility		$125.86	$130.11	$134.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $154.90 / $321.92	Professional		$105.75	$154.90	$321.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $130.11 / $134.63	Facility		$125.86	$130.11	$134.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $154.90 / $335.62	Professional		$107.64	$154.90	$335.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.73 / $53.53 / $175.60	Professional		$33.73	$53.53	$175.60
United Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $276.26 / $403.67	Professional		$204.25	$276.26	$403.67