Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $672.09 / $1,203.51	Facility		$312.60	$672.09	$1,203.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $312.60 / $371.21	Professional		$273.52	$312.60	$371.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $203.55 / $390.75	Professional		$173.01	$203.55	$390.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $507.98 / $10,412.12	Facility		$363.08	$507.98	$10,412.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.48 / $854.33 / $10,812.59	Professional		$408.48	$854.33	$10,812.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.99 / $402.32 / $2,230.03	Facility		$253.99	$402.32	$2,230.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $448.93 / $561.16	Professional		$253.99	$448.93	$561.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $253.99 / $402.32 / $2,230.03	Facility		$253.99	$402.32	$2,230.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $253.99 / $253.99	Professional		$253.99	$253.99	$253.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $234.45 / $468.90	Professional		$164.12	$234.45	$468.90