Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $103.54 / $189.23	Facility		$39.67	$103.54	$189.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $85.03 / $1,062.80	Professional		$39.67	$85.03	$1,062.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $214.91 / $389.91	Professional		$153.51	$214.91	$389.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $589.80 / $1,301.07	Facility		$39.32	$589.80	$1,301.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $663.54 / $1,170.96	Professional		$44.24	$663.54	$1,170.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $38.54 / $343.18	Professional		$30.84	$38.54	$343.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $38.54 / $167.73	Professional		$30.84	$38.54	$167.73
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 $143.27 / $1,031.61 / $1,908.99	Professional		$143.27	$1,031.61	$1,908.99