Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $96.43 / $200.07	Professional		$96.43	$96.43	$200.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $99.56 / $226.28	Professional		$77.59	$99.56	$226.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $133.60 / $203.02	Facility		$63.87	$133.60	$203.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $129.18 / $129.18	Facility		$129.18	$129.18	$129.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $150.62 / $265.85	Professional		$65.48	$150.62	$265.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $129.18 / $129.18	Facility		$129.18	$129.18	$129.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $150.62 / $269.93	Professional		$65.48	$150.62	$269.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $110.90 / $174.59	Professional		$57.79	$110.90	$174.59
United Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $133.90 / $280.04	Professional		$80.34	$133.90	$280.04