Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $73.52 / $135.59	Professional		$68.18	$73.52	$135.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $108.43 / $198.30	Professional		$88.55	$108.43	$198.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $95.01 / $129.29	Facility		$70.90	$95.01	$129.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.83 / $189.83 / $189.83	Facility		$189.83	$189.83	$189.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $83.41 / $156.69	Professional		$41.70	$83.41	$156.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $189.83 / $189.83 / $189.83	Facility		$189.83	$189.83	$189.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $87.58 / $166.81	Professional		$42.44	$87.58	$166.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $117.12 / $158.78	Professional		$69.79	$117.12	$158.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $97.86 / $142.58	Professional		$58.72	$97.86	$142.58