Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $763.40 / $1,096.58	Facility		$48.00	$763.40	$1,096.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $1,056.22	Professional		$38.00	$48.00	$1,056.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $726.00 / $1,188.00	Professional		$462.00	$726.00	$1,188.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $243.00 / $675.00	Facility		$94.51	$243.00	$675.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $257.27 / $540.00	Professional		$108.86	$257.27	$540.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $636.50 / $882.20	Professional		$430.00	$636.50	$882.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $620.00 / $856.80	Professional		$420.00	$620.00	$856.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $93.22 / $175.23	Professional		$52.56	$93.22	$175.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $82.00	Professional		$40.00	$58.00	$82.00