Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $125.36 / $182.01	Facility		$83.00	$125.36	$182.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $125.36 / $195.84	Professional		$89.16	$125.36	$195.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $118.00 / $176.73	Professional		$100.00	$118.00	$176.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.27 / $266.14 / $266.14	Facility		$256.27	$266.14	$266.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $300.36	Facility		$183.96	$183.96	$300.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $248.86 / $269.07 / $323.30	Facility		$248.86	$269.07	$323.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $215.05 / $258.06	Professional		$214.64	$215.05	$258.06