Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $261.22 / $510.01	Facility		$139.91	$261.22	$510.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $139.91 / $296.61	Professional		$128.69	$139.91	$296.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $293.42 / $512.16	Professional		$196.58	$293.42	$512.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $97.58 / $200.99	Facility		$67.02	$97.58	$200.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $76.58 / $148.86	Professional		$72.27	$76.58	$148.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $5,752.36 / $9,420.04	Facility		$180.27	$5,752.36	$9,420.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $226.90 / $541.33	Professional		$134.75	$226.90	$541.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $5,752.36 / $9,513.43	Facility		$180.27	$5,752.36	$9,513.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $223.29 / $579.54	Professional		$136.97	$223.29	$579.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $89.46 / $175.61	Professional		$40.58	$89.46	$175.61
United Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $203.00 / $512.46	Professional		$141.78	$203.00	$512.46