Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $110.24 / $205.20	Facility		$70.29	$110.24	$205.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $132.61	Professional		$73.48	$73.48	$132.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $23.93 / $45.59	Professional		$19.78	$23.93	$45.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $91.38 / $119.49	Facility		$70.29	$91.38	$119.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $91.38 / $153.46	Professional		$70.29	$91.38	$153.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $88.64 / $473.90	Facility		$79.95	$88.64	$473.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $73.48 / $173.37	Professional		$51.16	$73.48	$173.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $88.64 / $161.22	Facility		$35.97	$88.64	$161.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $66.43 / $95.92	Professional		$26.63	$66.43	$95.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $63.26 / $86.98	Professional		$55.35	$63.26	$86.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $44.98 / $120.91	Professional		$31.48	$44.98	$120.91