Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.80 / $200.88 / $308.26	Facility		$157.80	$200.88	$308.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $76.83 / $78.68	Professional		$63.87	$76.83	$78.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $94.03 / $137.86	Professional		$80.23	$94.03	$137.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $149.03 / $182.14	Facility		$110.39	$149.03	$182.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $89.84 / $107.63	Professional		$78.68	$89.84	$107.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $79.53 / $161.55	Professional		$79.53	$79.53	$161.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $94.03 / $117.92	Professional		$81.77	$94.03	$117.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $92.57 / $100.08	Professional		$87.94	$92.57	$100.08