Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $163.38 / $292.56	Facility		$75.98	$163.38	$292.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $75.98 / $137.74	Professional		$47.50	$75.98	$137.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $102.59 / $168.10	Facility		$83.88	$102.59	$168.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $49.40 / $152.04	Professional		$38.00	$49.40	$152.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $123.49 / $156.72	Facility		$94.99	$123.49	$156.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $128.24 / $227.98	Professional		$123.49	$128.24	$227.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $97.80 / $542.08	Facility		$84.77	$97.80	$542.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $83.21 / $207.07	Professional		$43.42	$83.21	$207.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $97.80 / $542.08	Facility		$84.77	$97.80	$542.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $85.42 / $207.07	Professional		$43.42	$85.42	$207.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $85.48 / $117.54	Professional		$74.80	$85.48	$117.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $125.45	Professional		$39.90	$56.99	$125.45