Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.29 / $192.30 / $360.28	Facility		$130.29	$192.30	$360.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $89.69 / $309.67	Professional		$75.53	$89.69	$309.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $101.96 / $167.08	Facility		$83.36	$101.96	$167.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $116.12 / $191.73	Professional		$77.73	$116.12	$191.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $122.73 / $141.62	Facility		$94.41	$122.73	$141.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $127.45 / $226.58	Professional		$122.73	$127.45	$226.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.17 / $299.56 / $327.86	Facility		$182.17	$299.56	$327.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $240.75 / $283.49	Professional		$113.29	$240.75	$283.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $182.17 / $299.56 / $327.86	Facility		$182.17	$299.56	$327.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $240.75 / $283.49	Professional		$94.11	$240.75	$283.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $88.51 / $116.83	Professional		$77.89	$88.51	$116.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $56.65 / $113.29	Professional		$39.65	$56.65	$113.29