Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.05 / $201.05 / $250.00	Facility		$201.05	$201.05	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $196.48 / $221.16	Professional		$20.10	$196.48	$221.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $60.44 / $113.47	Professional		$39.59	$60.44	$113.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $267.08 / $328.39	Facility		$185.72	$267.08	$328.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $227.55 / $351.66	Professional		$46.44	$227.55	$351.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $150.67 / $188.94	Professional		$131.02	$150.67	$188.94
United Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $213.87 / $324.17	Professional		$128.01	$213.87	$324.17