Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $239.35 / $456.68	Facility		$95.74	$239.35	$456.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $103.97 / $371.81	Professional		$94.70	$103.97	$371.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $207.08 / $335.69	Professional		$153.51	$207.08	$335.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.82 / $912.19 / $2,012.18	Facility		$60.82	$912.19	$2,012.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $1,026.21 / $1,810.97	Professional		$68.41	$1,026.21	$1,810.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $21,571.00	Facility		$115.20	$115.20	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $59.62 / $211.55	Professional		$47.70	$59.62	$211.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $59.62 / $162.47	Professional		$47.70	$59.62	$162.47
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 $188.61 / $368.50 / $667.87	Professional		$188.61	$368.50	$667.87