Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.12 / $144.37 / $271.86	Facility		$81.12	$144.37	$271.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $83.57 / $139.12	Professional		$67.91	$83.57	$139.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $58.75 / $112.12	Professional		$23.79	$58.75	$112.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $87.35 / $117.95	Facility		$79.30	$87.35	$117.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $95.29 / $180.43	Professional		$79.41	$95.29	$180.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.20 / $128.00	Facility		$65.00	$80.20	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $95.99 / $138.97	Professional		$73.31	$95.99	$138.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $177.08 / $313.49	Facility		$65.00	$177.08	$313.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $99.27 / $152.43	Professional		$73.31	$99.27	$152.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $68.30 / $96.36	Professional		$52.54	$68.30	$96.36
United Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $94.24 / $160.94	Professional		$67.13	$94.24	$160.94