Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $154.88 / $154.88	Facility		$131.83	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $144.54	Professional		$67.61	$85.11	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $173.78	Professional		$83.18	$109.65	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Facility		$60.26	$60.26	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $199.53	Professional		$83.18	$117.49	$199.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $190.55	Professional		$83.18	$112.20	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $177.83	Professional		$75.86	$107.15	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $173.78	Professional		$75.86	$107.15	$173.78