Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $196.38 / $1,813.06	Facility		$100.89	$196.38	$1,813.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $100.89 / $196.38	Professional		$80.45	$100.89	$196.38
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 $120.94 / $142.28 / $276.52	Professional		$120.94	$142.28	$276.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $60.15 / $143.36	Facility		$41.32	$60.15	$143.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $61.63 / $106.17	Professional		$44.55	$61.63	$106.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.53 / $1,437.62 / $2,366.26	Facility		$140.53	$1,437.62	$2,366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $152.04 / $292.37	Professional		$94.78	$152.04	$292.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.53 / $1,437.62 / $2,491.33	Facility		$140.53	$1,437.62	$2,491.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $150.53 / $311.57	Professional		$95.09	$150.53	$311.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $81.89 / $131.17	Professional		$40.43	$81.89	$131.17
United Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $130.28 / $230.26	Professional		$96.66	$130.28	$230.26