Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $83.31 / $212.89	Facility		$65.73	$83.31	$212.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $75.14 / $94.67	Professional		$62.19	$75.14	$94.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $24.82 / $107.24	Professional		$15.64	$24.82	$107.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.94 / $77.00 / $95.32	Facility		$62.94	$77.00	$95.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $80.63 / $102.62	Professional		$57.05	$80.63	$102.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $110.69 / $110.69	Facility		$110.69	$110.69	$110.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $87.10 / $138.29	Professional		$67.37	$87.10	$138.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $72.56 / $110.69	Facility		$72.56	$72.56	$110.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $90.13 / $134.19	Professional		$67.45	$90.13	$134.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $56.44 / $76.13	Professional		$37.63	$56.44	$76.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $88.94 / $167.18	Professional		$68.89	$88.94	$167.18