Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $143.38 / $258.37	Facility		$79.70	$143.38	$258.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $79.70 / $164.03	Professional		$70.31	$79.70	$164.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.82 / $193.56 / $220.94	Facility		$182.82	$193.56	$220.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $82.69 / $137.50	Professional		$67.45	$82.69	$137.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $69.65 / $112.91	Facility		$43.25	$69.65	$112.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $51.58 / $88.55	Professional		$32.03	$51.58	$88.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $173.99 / $357.45	Facility		$94.80	$173.99	$357.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $103.42 / $162.68	Professional		$69.56	$103.42	$162.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $173.99 / $357.45	Facility		$94.80	$173.99	$357.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $99.64 / $162.68	Professional		$70.29	$99.64	$162.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $81.81 / $132.19	Professional		$40.43	$81.81	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $89.48 / $148.44	Professional		$61.91	$89.48	$148.44