Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $518.40 / $2,539.88	Facility		$48.00	$518.40	$2,539.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $576.84	Professional		$38.00	$48.00	$576.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.20 / $1,071.00 / $1,900.70	Professional		$823.20	$1,071.00	$1,900.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $165.75 / $408.00	Facility		$60.56	$165.75	$408.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $165.75 / $346.80	Professional		$69.06	$165.75	$346.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $335.00 / $1,443.00	Professional		$215.00	$335.00	$1,443.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $320.00 / $1,443.00	Professional		$210.00	$320.00	$1,443.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $52.56 / $87.61	Professional		$46.61	$52.56	$87.61
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $57.00 / $82.00	Professional		$40.00	$57.00	$82.00