Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $297.60 / $532.91	Facility		$138.41	$297.60	$532.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $138.41 / $138.41	Professional		$117.66	$138.41	$138.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $304.00 / $419.09	Professional		$186.87	$304.00	$419.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.08 / $224.94 / $4,611.27	Facility		$147.08	$224.94	$4,611.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $378.36 / $4,788.62	Professional		$180.90	$378.36	$4,788.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $196.82 / $1,001.91	Facility		$85.19	$196.82	$1,001.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $248.83	Professional		$199.07	$199.07	$248.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $112.47 / $1,001.91	Facility		$85.19	$112.47	$1,001.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $103.82 / $207.64	Professional		$72.67	$103.82	$207.64