Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $469.42 / $697.83	Facility		$48.00	$469.42	$697.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $604.79	Professional		$38.00	$48.00	$604.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $455.00 / $567.00	Professional		$294.00	$455.00	$567.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.43 / $183.00 / $476.00	Facility		$72.43	$183.00	$476.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $198.25 / $414.80	Professional		$82.60	$198.25	$414.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.73 / $1,218.00 / $1,260.00	Professional		$898.73	$1,218.00	$1,260.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $898.73 / $898.73 / $898.73	Professional		$898.73	$898.73	$898.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $55.93 / $105.13	Professional		$52.56	$55.93	$105.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $82.00	Professional		$40.00	$58.00	$82.00