Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $101.51 / $146.52	Professional		$87.67	$101.51	$146.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $128.71 / $201.97	Professional		$99.11	$128.71	$201.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $109.97 / $161.31	Facility		$93.68	$109.97	$161.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $135.76 / $152.05	Professional		$119.47	$135.76	$152.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $142.03 / $230.52	Professional		$108.57	$142.03	$230.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $146.63 / $225.32	Professional		$108.61	$146.63	$225.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $112.41 / $155.95	Professional		$82.26	$112.41	$155.95
United Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $134.06 / $215.46	Professional		$96.96	$134.06	$215.46