Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $203.47 / $291.89	Professional		$176.24	$203.47	$291.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $255.35 / $402.59	Professional		$197.31	$255.35	$402.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.86 / $219.36 / $321.77	Facility		$186.86	$219.36	$321.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.32 / $269.58 / $303.31	Professional		$238.32	$269.58	$303.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.56 / $285.70 / $479.35	Professional		$216.56	$285.70	$479.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $293.26 / $469.43	Professional		$220.32	$293.26	$469.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $263.63 / $365.27	Professional		$192.10	$263.63	$365.27
United Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $269.51 / $449.80	Professional		$193.40	$269.51	$449.80