Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $129.52 / $223.32	Facility		$74.83	$129.52	$223.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $75.43 / $110.85	Professional		$65.22	$75.43	$110.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $110.19 / $182.13	Professional		$75.45	$110.19	$182.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $71.38 / $91.57	Facility		$60.26	$71.38	$91.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $76.39 / $86.31	Professional		$67.81	$76.39	$86.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $81.28 / $115.77	Facility		$35.40	$81.28	$115.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $91.91 / $150.88	Professional		$64.73	$91.91	$150.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $81.28 / $115.77	Facility		$35.40	$81.28	$115.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $93.56 / $141.57	Professional		$64.73	$93.56	$141.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $70.72 / $100.33	Professional		$52.59	$70.72	$100.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $83.23 / $133.86	Professional		$60.36	$83.23	$133.86