Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $240.98 / $423.44	Facility		$133.59	$240.98	$423.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $142.15 / $176.28	Professional		$124.94	$142.15	$176.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $160.28 / $248.71	Professional		$126.01	$160.28	$248.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.32 / $146.44 / $191.93	Facility		$126.32	$146.44	$191.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $142.79 / $180.91	Professional		$128.35	$142.79	$180.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $157.91 / $157.91	Facility		$157.91	$157.91	$157.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $181.96 / $297.20	Professional		$133.43	$181.96	$297.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $157.91 / $157.91	Facility		$157.91	$157.91	$157.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $187.37 / $289.20	Professional		$134.74	$187.37	$289.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $141.00 / $198.68	Professional		$107.97	$141.00	$198.68
United Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $159.19 / $289.44	Professional		$116.46	$159.19	$289.44