Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $252.90 / $424.34	Facility		$101.94	$252.90	$424.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $101.94 / $183.95	Professional		$101.94	$101.94	$183.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.52 / $137.62 / $225.51	Facility		$112.52	$137.62	$225.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $71.48 / $203.94	Professional		$54.99	$71.48	$203.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $165.66 / $210.26	Facility		$127.43	$165.66	$210.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $172.03 / $305.83	Professional		$165.66	$172.03	$305.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $144.94 / $727.25	Facility		$131.12	$144.94	$727.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $85.63 / $277.66	Professional		$58.28	$85.63	$277.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $160.69 / $727.25	Facility		$131.12	$160.69	$727.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $70.17 / $277.66	Professional		$58.28	$70.17	$277.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $114.68 / $157.69	Professional		$100.34	$114.68	$157.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $76.45 / $168.30	Professional		$53.52	$76.45	$168.30