Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $99.56 / $141.94	Facility		$76.84	$99.56	$141.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $76.84 / $104.08	Professional		$66.95	$76.84	$104.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $200.61 / $361.02	Professional		$148.33	$200.61	$361.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $48.41 / $110.92	Facility		$27.77	$48.41	$110.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $52.21 / $93.35	Professional		$29.94	$52.21	$93.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $94.88 / $98.47	Facility		$88.69	$94.88	$98.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $112.94 / $208.18	Professional		$72.22	$112.94	$208.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $94.88 / $98.47	Facility		$88.69	$94.88	$98.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $109.95 / $208.18	Professional		$73.69	$109.95	$208.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $41.06 / $56.41	Professional		$29.49	$41.06	$56.41
United Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $222.89 / $415.22	Professional		$130.06	$222.89	$415.22