Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.24 / $227.18 / $397.40	Facility		$115.24	$227.18	$397.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $120.72 / $145.91	Professional		$102.42	$120.72	$145.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $98.26 / $165.21	Professional		$69.19	$98.26	$165.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $85.85 / $159.88	Facility		$58.96	$85.85	$159.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $75.79 / $148.04	Professional		$63.58	$75.79	$148.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $144.69 / $144.69	Facility		$144.69	$144.69	$144.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $153.94 / $327.73	Professional		$104.64	$153.94	$327.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $144.69 / $144.69	Facility		$144.69	$144.69	$144.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $150.49 / $235.03	Professional		$104.48	$150.49	$235.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $83.63 / $158.99	Professional		$56.07	$83.63	$158.99
United Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $153.46 / $273.08	Professional		$98.37	$153.46	$273.08