Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $133.27 / $156.78	Facility		$117.59	$133.27	$156.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $150.08 / $218.85	Professional		$117.59	$150.08	$218.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $192.44 / $295.61	Professional		$155.76	$192.44	$295.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.32 / $141.50 / $190.13	Facility		$110.32	$141.50	$190.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $151.30 / $215.48	Professional		$110.32	$151.30	$215.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $121.00 / $229.97	Facility		$121.00	$121.00	$229.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $245.27 / $415.60	Professional		$187.81	$245.27	$415.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $121.00 / $121.00	Facility		$121.00	$121.00	$121.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $232.91 / $314.98	Professional		$200.40	$232.91	$314.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.57 / $186.12 / $284.67	Professional		$144.57	$186.12	$284.67
United Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $226.28 / $341.59	Professional		$159.08	$226.28	$341.59