Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $115.58 / $211.91	Facility		$47.51	$115.58	$211.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $115.58 / $145.22	Professional		$30.15	$115.58	$145.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $42.69 / $114.54	Professional		$22.02	$42.69	$114.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.55 / $162.41 / $162.41	Facility		$111.55	$162.41	$162.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $120.30 / $131.61	Professional		$120.30	$120.30	$131.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $131.24 / $234.04	Professional		$100.25	$131.24	$234.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $136.71 / $237.90	Professional		$100.25	$136.71	$237.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $142.32 / $208.14	Professional		$101.94	$142.32	$208.14
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $128.84 / $233.76	Professional		$90.19	$128.84	$233.76