Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $269.70 / $877.52	Facility		$80.78	$269.70	$877.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $86.79 / $241.30	Professional		$77.31	$86.79	$241.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $92.73 / $175.25	Professional		$89.51	$92.73	$175.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $93.56 / $117.03	Facility		$78.79	$93.56	$117.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $98.49 / $106.37	Professional		$78.79	$98.49	$106.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $95.46 / $95.46	Facility		$95.46	$95.46	$95.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $101.99 / $168.61	Professional		$84.04	$101.99	$168.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $181.48 / $285.00	Facility		$95.46	$181.48	$285.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $102.43 / $168.61	Professional		$84.04	$102.43	$168.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $80.05 / $107.49	Professional		$60.48	$80.05	$107.49
United Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $101.55 / $176.71	Professional		$75.23	$101.55	$176.71