Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $207.50 / $306.17	Facility		$67.73	$207.50	$306.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $66.40 / $119.82	Professional		$66.40	$66.40	$119.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $89.64 / $146.88	Facility		$73.29	$89.64	$146.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.16 / $132.84	Professional		$33.20	$43.16	$132.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $103.75 / $124.50	Facility		$83.00	$103.75	$124.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $112.05 / $199.20	Professional		$107.90	$112.05	$199.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $94.41 / $473.68	Facility		$85.40	$94.41	$473.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $72.59 / $180.40	Professional		$37.97	$72.59	$180.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $104.66 / $473.68	Facility		$85.40	$104.66	$473.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $48.56 / $180.40	Professional		$37.97	$48.56	$180.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $74.70 / $102.71	Professional		$65.36	$74.70	$102.71
United Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $49.80 / $109.62	Professional		$34.49	$49.80	$109.62