Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $432.00 / $797.55	Facility		$87.84	$432.00	$797.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $419.60	Professional		$35.00	$48.00	$419.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $325.00 / $405.00	Professional		$210.00	$325.00	$405.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $130.38 / $340.00	Facility		$49.35	$130.38	$340.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $135.59 / $278.80	Professional		$55.52	$135.59	$278.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $254.60 / $352.88	Professional		$172.00	$254.60	$352.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $95.22 / $786.13	Facility		$95.22	$95.22	$786.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $248.00 / $336.00	Professional		$168.00	$248.00	$336.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $52.56 / $70.09	Professional		$37.29	$52.56	$70.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.00 / $76.86	Professional		$40.00	$55.00	$76.86