Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $215.79 / $434.68	Facility		$100.27	$215.79	$434.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $103.55 / $194.78	Professional		$94.36	$103.55	$194.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $102.37 / $177.57	Professional		$70.65	$102.37	$177.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $67.09 / $144.69	Facility		$32.27	$67.09	$144.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $72.37 / $107.17	Professional		$34.79	$72.37	$107.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $1,113.30 / $2,232.96	Facility		$150.88	$1,113.30	$2,232.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $137.38 / $268.52	Professional		$86.16	$137.38	$268.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $1,113.30 / $2,490.94	Facility		$150.88	$1,113.30	$2,490.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $136.41 / $233.42	Professional		$95.13	$136.41	$233.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $82.38 / $132.19	Professional		$40.46	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $126.59 / $236.08	Professional		$78.73	$126.59	$236.08