Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.37 / $330.01 / $526.47	Facility		$110.37	$330.01	$526.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $110.37 / $221.97	Professional		$110.37	$110.37	$221.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $125.62 / $207.03	Professional		$100.20	$125.62	$207.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $110.35 / $160.69	Facility		$110.35	$110.35	$160.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $119.01 / $119.01	Professional		$94.67	$119.01	$119.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.20 / $400.81 / $549.45	Facility		$210.20	$400.81	$549.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $149.30 / $317.44	Professional		$111.10	$149.30	$317.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $210.20 / $400.81 / $638.42	Facility		$210.20	$400.81	$638.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $146.38 / $242.39	Professional		$110.35	$146.38	$242.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.46 / $119.55 / $157.53	Professional		$73.46	$119.55	$157.53
United Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $143.63 / $269.23	Professional		$76.26	$143.63	$269.23