Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $281.20 / $1,813.06	Facility		$154.83	$281.20	$1,813.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $154.83 / $281.20	Professional		$119.20	$154.83	$281.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.97 / $1,712.01 / $1,954.15	Facility		$1,616.97	$1,712.01	$1,954.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.05 / $142.16 / $245.32	Professional		$111.05	$142.16	$245.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $97.13 / $220.34	Facility		$54.19	$97.13	$220.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $104.74 / $163.19	Professional		$58.44	$104.74	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $1,437.62 / $2,366.26	Facility		$185.66	$1,437.62	$2,366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $193.57 / $344.65	Professional		$128.10	$193.57	$344.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $1,437.62 / $2,491.33	Facility		$185.66	$1,437.62	$2,491.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $193.76 / $332.30	Professional		$129.69	$193.76	$332.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $127.93 / $221.83	Professional		$40.58	$127.93	$221.83
United Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $172.95 / $310.89	Professional		$116.46	$172.95	$310.89