Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $142.47 / $583.12	Facility		$76.97	$142.47	$583.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $76.97 / $142.47	Professional		$62.81	$76.97	$142.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $550.62 / $628.50	Facility		$520.04	$550.62	$628.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $94.24 / $164.93	Professional		$80.97	$94.24	$164.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $50.23 / $109.32	Facility		$24.85	$50.23	$109.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $54.18 / $80.97	Professional		$26.80	$54.18	$80.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $467.66 / $830.36	Facility		$95.22	$467.66	$830.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $108.54 / $187.02	Professional		$67.83	$108.54	$187.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $467.66 / $1,019.40	Facility		$95.22	$467.66	$1,019.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $107.30 / $187.02	Professional		$71.84	$107.30	$187.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $82.38 / $132.19	Professional		$40.46	$82.38	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $92.96 / $159.68	Professional		$65.73	$92.96	$159.68