Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $77.50 / $147.87	Facility		$31.00	$77.50	$147.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $34.10 / $222.76	Professional		$30.44	$34.10	$222.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $137.18 / $216.30	Professional		$97.17	$137.18	$216.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $460.84 / $1,016.55	Facility		$30.72	$460.84	$1,016.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $518.44 / $914.90	Professional		$34.56	$518.44	$914.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $264.33 / $528.41	Facility		$99.09	$264.33	$528.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $30.12 / $155.93	Professional		$24.10	$30.12	$155.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $264.33 / $528.41	Facility		$171.20	$264.33	$528.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $30.12 / $155.93	Professional		$24.10	$30.12	$155.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $61.59 / $190.84 / $220.97	Facility		$61.59	$190.84	$220.97
United Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $203.57 / $361.14	Professional		$88.35	$203.57	$361.14