Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $404.39 / $739.06	Facility		$154.94	$404.39	$739.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $195.39 / $1,062.80	Professional		$154.94	$195.39	$1,062.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $214.91 / $417.54	Professional		$153.51	$214.91	$417.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.28 / $2,299.13 / $5,071.62	Facility		$153.28	$2,299.13	$5,071.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $2,586.52 / $4,564.46	Professional		$172.43	$2,586.52	$4,564.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $21,571.00	Facility		$231.15	$231.15	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $150.27 / $778.00	Professional		$120.22	$150.27	$778.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $231.15	Facility		$231.15	$231.15	$231.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $150.27 / $326.00	Professional		$120.22	$150.27	$326.00
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 Professional Modifier Low / Median / High Price $307.91 / $1,030.11 / $1,897.66	Professional		$307.91	$1,030.11	$1,897.66