Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $183.52 / $281.62	Facility		$84.57	$183.52	$281.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.57 / $107.24	Professional		$84.53	$84.57	$107.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $145.04 / $241.02	Facility		$91.34	$145.04	$241.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $94.71 / $142.58	Professional		$84.57	$94.71	$142.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $126.90	Facility		$84.57	$84.57	$126.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $114.17	Professional		$84.57	$84.57	$114.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $117.45	Facility		$79.78	$84.57	$117.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $119.68	Professional		$84.57	$84.57	$119.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $117.45 / $117.63	Facility		$84.57	$117.45	$117.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $119.68	Professional		$84.57	$84.57	$119.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $107.35 / $147.03	Professional		$84.57	$107.35	$147.03
United Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $84.57 / $100.64	Professional		$84.41	$84.57	$100.64