Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $103.59 / $150.32	Facility		$61.44	$103.59	$150.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $83.34 / $167.99	Professional		$81.50	$83.34	$167.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $110.68 / $180.82	Professional		$96.24	$110.68	$180.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $59.44 / $117.63	Facility		$34.13	$59.44	$117.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $54.48 / $87.11	Professional		$32.64	$54.48	$87.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $104.14 / $104.14	Facility		$97.35	$104.14	$104.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $119.37 / $189.87	Professional		$81.63	$119.37	$189.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $104.14 / $119.83	Facility		$97.35	$104.14	$119.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $115.15 / $189.87	Professional		$81.63	$115.15	$189.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $41.76 / $55.61	Professional		$27.84	$41.76	$55.61
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $118.95 / $193.79	Professional		$71.23	$118.95	$193.79