Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $210.61 / $345.04	Facility		$89.62	$210.61	$345.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $89.62 / $89.62	Professional		$76.17	$89.62	$89.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.91 / $82.22	Professional		$5.87	$6.91	$82.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $145.63 / $2,621.27	Facility		$95.22	$145.63	$2,621.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $244.70 / $3,097.04	Professional		$117.00	$244.70	$3,097.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $115.33 / $639.27	Facility		$72.81	$115.33	$639.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $128.44 / $160.55	Professional		$72.81	$128.44	$160.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $115.33 / $639.27	Facility		$72.81	$115.33	$639.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $72.81 / $72.81	Professional		$72.81	$72.81	$72.81
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 $47.05 / $67.20 / $146.75	Professional		$47.05	$67.20	$146.75