Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $3,116.00	Facility		$3,116.00	$3,116.00	$3,116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $109.15 / $197.25	Professional		$70.48	$109.15	$197.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $224.24 / $455.26	Professional		$135.99	$224.24	$455.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $160.22 / $212.49	Facility		$76.06	$160.22	$212.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $111.84 / $177.85	Professional		$74.56	$111.84	$177.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $111.84 / $180.93	Professional		$74.56	$111.84	$180.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $107.98 / $117.41	Professional		$91.78	$107.98	$117.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,308.00 / $3,308.00 / $7,778.00	Facility		$3,308.00	$3,308.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $138.52 / $284.02	Professional		$108.34	$138.52	$284.02