Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $148.51 / $260.76	Facility		$81.79	$148.51	$260.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $87.52 / $110.38	Professional		$77.08	$87.52	$110.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $104.17 / $158.94	Professional		$81.86	$104.17	$158.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $90.01 / $118.09	Facility		$77.72	$90.01	$118.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $87.86 / $111.31	Professional		$83.15	$87.86	$111.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $96.70 / $96.70	Facility		$96.70	$96.70	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $114.91 / $188.01	Professional		$82.47	$114.91	$188.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $96.70 / $96.70	Facility		$96.70	$96.70	$96.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $115.30 / $188.01	Professional		$82.49	$115.30	$188.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $106.45 / $149.97	Professional		$80.47	$106.45	$149.97
United Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $102.10 / $174.77	Professional		$71.87	$102.10	$174.77