Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.55 / $201.51 / $222.37	Facility		$110.55	$201.51	$222.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $110.55 / $164.66	Professional		$97.73	$110.55	$164.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $151.56 / $223.70	Professional		$119.20	$151.56	$223.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $77.56 / $159.56	Facility		$54.68	$77.56	$159.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $65.64 / $132.08	Professional		$52.54	$65.64	$132.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $197.14 / $210.90	Facility		$130.49	$197.14	$210.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $154.08 / $253.23	Professional		$107.64	$154.08	$253.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $197.14 / $210.90	Facility		$130.49	$197.14	$210.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $153.08 / $253.23	Professional		$109.48	$153.08	$253.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $75.89 / $107.70	Professional		$52.27	$75.89	$107.70
United Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $142.43 / $222.83	Professional		$101.17	$142.43	$222.83