Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.22 / $160.94 / $467.00	Facility		$93.22	$160.94	$467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $87.95 / $156.38	Professional		$75.42	$87.95	$156.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $110.61 / $232.15	Professional		$67.45	$110.61	$232.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $102.11 / $133.44	Facility		$85.09	$102.11	$133.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $108.42 / $140.13	Professional		$85.09	$108.42	$140.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $128.00	Facility		$103.37	$103.37	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $119.13 / $209.82	Professional		$85.21	$119.13	$209.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $161.75 / $297.86 / $567.90	Facility		$161.75	$297.86	$567.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $119.13 / $201.84	Professional		$85.09	$119.13	$201.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $74.53 / $102.04	Professional		$56.31	$74.53	$102.04
United Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $116.98 / $215.62	Professional		$79.68	$116.98	$215.62