Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $175.58 / $269.43	Facility		$80.91	$175.58	$269.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.56 / $224.49	Professional		$80.91	$81.56	$224.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $141.31 / $232.21	Facility		$87.38	$141.31	$232.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $140.10	Professional		$80.91	$80.91	$140.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $137.55	Facility		$80.91	$80.91	$137.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $109.23	Professional		$80.91	$80.91	$109.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $76.33 / $80.91	Facility		$76.33	$76.33	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $119.06	Professional		$80.91	$80.91	$119.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $77.86 / $77.86	Facility		$77.86	$77.86	$77.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $119.06	Professional		$80.91	$80.91	$119.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $101.13 / $117.08	Professional		$88.82	$101.13	$117.08
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $105.34	Professional		$80.91	$80.91	$105.34