Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $96.14 / $1,399.49	Facility		$48.00	$96.14	$1,399.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $86.40	Professional		$38.00	$48.00	$86.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $65.43 / $81.00	Professional		$42.00	$65.43	$81.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $23.75 / $78.00	Facility		$1.31	$23.75	$78.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $24.19 / $68.84	Professional		$1.36	$24.19	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $128.38 / $128.38	Professional		$39.10	$128.38	$128.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $322.39 / $409.92	Facility		$150.69	$322.39	$409.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Professional		$128.38	$128.38	$128.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $17.52 / $52.56	Professional		$9.32	$17.52	$52.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $82.00	Professional		$40.00	$58.00	$82.00