Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.78 / $358.78 / $358.78	Facility		$358.78	$358.78	$358.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $120.30 / $139.34	Professional		$93.19	$120.30	$139.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $84.67 / $192.45	Professional		$66.00	$84.67	$192.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $133.96 / $180.56	Facility		$99.02	$133.96	$180.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $157.26 / $279.58	Professional		$151.44	$157.26	$279.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.33 / $245.33 / $245.33	Facility		$245.33	$245.33	$245.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $120.63 / $276.29	Professional		$59.27	$120.63	$276.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.33 / $245.33 / $245.33	Facility		$245.33	$245.33	$245.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $120.63 / $276.29	Professional		$59.27	$120.63	$276.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $96.10 / $113.58	Professional		$87.37	$96.10	$113.58
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $116.49 / $215.37	Professional		$69.89	$116.49	$215.37