Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $1,072.96 / $1,595.04	Facility		$48.00	$1,072.96	$1,595.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $1,382.40	Professional		$38.00	$48.00	$1,382.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,040.00 / $1,296.00	Professional		$672.00	$1,040.00	$1,296.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.17 / $453.00 / $1,132.50	Facility		$176.17	$453.00	$1,132.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $453.00 / $981.50	Professional		$200.60	$453.00	$981.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.00 / $954.75 / $1,323.30	Professional		$645.00	$954.75	$1,323.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $930.00 / $1,285.20	Professional		$630.00	$930.00	$1,285.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $139.83 / $262.84	Professional		$52.56	$139.83	$262.84
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $57.00 / $82.00	Professional		$40.00	$57.00	$82.00