Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $120.30 / $318.23	Facility		$98.61	$120.30	$318.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $98.61 / $153.44	Professional		$87.03	$98.61	$153.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $50.93 / $123.46	Professional		$8.08	$50.93	$123.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.27 / $115.70 / $143.21	Facility		$96.27	$115.70	$143.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $106.06 / $134.99	Professional		$62.36	$106.06	$134.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $128.00	Facility		$65.00	$85.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $115.70 / $185.86	Professional		$87.09	$115.70	$185.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $116.42 / $345.18	Facility		$65.00	$116.42	$345.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $120.47 / $185.86	Professional		$90.61	$120.47	$185.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $136.77 / $194.71	Professional		$105.08	$136.77	$194.71
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $111.16 / $198.93	Professional		$77.39	$111.16	$198.93