Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $98.04 / $1,224.50	Facility		$57.49	$98.04	$1,224.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $57.49 / $98.04	Professional		$39.77	$57.49	$98.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.06 / $1,156.25 / $1,319.79	Facility		$1,092.06	$1,156.25	$1,319.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $50.45 / $91.21	Professional		$35.69	$50.45	$91.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $40.02 / $82.10	Facility		$16.37	$40.02	$82.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $43.15 / $60.81	Professional		$17.66	$43.15	$60.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $970.94 / $1,630.37	Facility		$69.34	$970.94	$1,630.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $67.81 / $128.65	Professional		$47.88	$67.81	$128.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $970.94 / $1,791.71	Facility		$69.34	$970.94	$1,791.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $67.44 / $119.35	Professional		$46.99	$67.44	$119.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.24 / $51.07	Professional		$26.52	$36.24	$51.07
United Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $58.93 / $109.02	Professional		$42.13	$58.93	$109.02