Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.99 / $289.62 / $602.63	Facility		$160.99	$289.62	$602.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $160.99 / $309.01	Professional		$142.56	$160.99	$309.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $322.38 / $562.72	Professional		$217.24	$322.38	$562.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $101.76 / $232.78	Facility		$58.10	$101.76	$232.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $109.74 / $172.40	Professional		$62.67	$109.74	$172.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.60 / $5,752.36 / $9,420.04	Facility		$218.60	$5,752.36	$9,420.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $258.60 / $560.91	Professional		$154.29	$258.60	$560.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $218.60 / $5,752.36 / $9,513.43	Facility		$218.60	$5,752.36	$9,513.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $250.77 / $625.02	Professional		$156.38	$250.77	$625.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $128.03 / $221.83	Professional		$40.58	$128.03	$221.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,318.36 / $6,318.36 / $7,377.30	Facility		$6,318.36	$6,318.36	$7,377.30
United Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $211.59 / $505.74	Professional		$160.09	$211.59	$505.74