Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.59 / $196.46 / $277.20	Facility		$110.59	$196.46	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $110.59 / $234.45	Professional		$105.19	$110.59	$234.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.06 / $260.52 / $297.37	Facility		$246.06	$260.52	$297.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $188.12 / $341.62	Professional		$79.48	$188.12	$341.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.88 / $127.58	Facility		$36.31	$52.88	$127.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $55.32 / $107.36	Professional		$39.15	$55.32	$107.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $264.33 / $717.21	Facility		$103.79	$264.33	$717.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $122.56 / $211.77	Professional		$81.59	$122.56	$211.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $264.31 / $717.21	Facility		$99.09	$264.31	$717.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $120.25 / $203.81	Professional		$84.94	$120.25	$203.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.73 / $53.74 / $101.10	Professional		$33.73	$53.74	$101.10
United Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $180.02 / $320.23	Professional		$94.48	$180.02	$320.23