Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $76.16 / $139.19	Facility		$29.18	$76.16	$139.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $29.18 / $38.24	Professional		$21.20	$29.18	$38.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $31.05 / $67.84	Professional		$24.45	$31.05	$67.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $438.80 / $967.95	Facility		$29.26	$438.80	$967.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $493.65 / $871.16	Professional		$32.90	$493.65	$871.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.88 / $497.35 / $837.27	Facility		$217.88	$497.35	$837.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $68.48 / $146.58	Professional		$48.90	$68.48	$146.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $217.88 / $497.35 / $1,208.75	Facility		$217.88	$497.35	$1,208.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $68.48 / $146.58	Professional		$48.90	$68.48	$146.58
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 $21.59 / $29.23 / $57.48	Professional		$21.59	$29.23	$57.48