Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $85.03 / $215.40	Facility		$69.70	$85.03	$215.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $69.70 / $100.34	Professional		$57.77	$69.70	$100.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $80.62 / $138.29	Professional		$43.67	$80.62	$138.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $82.33 / $101.90	Facility		$68.23	$82.33	$101.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $92.62 / $104.37	Professional		$75.47	$92.62	$104.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $85.00 / $140.00	Facility		$58.00	$85.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $88.70 / $146.18	Professional		$65.18	$88.70	$146.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $128.00 / $273.88	Facility		$65.00	$128.00	$273.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $93.06 / $151.40	Professional		$65.18	$93.06	$151.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $68.84 / $99.37	Professional		$52.54	$68.84	$99.37
United Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $85.99 / $154.49	Professional		$61.91	$85.99	$154.49