Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.10 / $679.39 / $1,113.04	Facility		$289.10	$679.39	$1,113.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $289.10 / $299.94	Professional		$252.96	$289.10	$299.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $238.75 / $463.77	Professional		$174.94	$238.75	$463.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $1,057.01 / $10,386.74	Facility		$361.37	$1,057.01	$10,386.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.70 / $867.29 / $8,498.24	Professional		$377.70	$867.29	$8,498.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.06 / $455.69 / $2,436.30	Facility		$411.06	$455.69	$2,436.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $411.06 / $455.69 / $2,436.30	Facility		$411.06	$455.69	$2,436.30
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 $151.78 / $216.82 / $477.26	Professional		$151.78	$216.82	$477.26