Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $191.56 / $262.10	Facility		$104.68	$191.56	$262.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $98.26 / $217.81	Professional		$69.68	$98.26	$217.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $91.80 / $171.49	Professional		$73.44	$91.80	$171.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $133.21 / $189.57	Facility		$102.47	$133.21	$189.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $133.19 / $139.01	Professional		$107.59	$133.19	$139.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $83.26 / $128.00	Facility		$65.00	$83.26	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $124.37 / $181.01	Professional		$83.26	$124.37	$181.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $140.00 / $304.00	Facility		$76.00	$140.00	$304.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $129.22 / $184.29	Professional		$83.26	$129.22	$184.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $103.57 / $143.90	Professional		$80.03	$103.57	$143.90
United Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $102.05 / $177.43	Professional		$73.91	$102.05	$177.43