Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.43 / $433.43 / $433.43	Facility		$433.43	$433.43	$433.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $123.84 / $302.95	Professional		$83.73	$123.84	$302.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $102.85 / $232.49	Professional		$79.73	$102.85	$232.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.62 / $161.84 / $218.13	Facility		$119.62	$161.84	$218.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $189.99 / $337.75	Professional		$182.95	$189.99	$337.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.36 / $296.36 / $296.36	Facility		$296.36	$296.36	$296.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $147.41 / $333.54	Professional		$71.48	$147.41	$333.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $296.36 / $296.36 / $296.36	Facility		$296.36	$296.36	$296.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $145.77 / $333.54	Professional		$71.48	$145.77	$333.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $116.10 / $137.21	Professional		$105.55	$116.10	$137.21
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $140.72 / $267.39	Professional		$84.44	$140.72	$267.39