Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $232.68 / $454.28	Facility		$120.45	$232.68	$454.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $120.45 / $232.68	Professional		$113.10	$120.45	$232.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $262.20 / $457.12	Professional		$166.18	$262.20	$457.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $75.63 / $173.34	Facility		$51.94	$75.63	$173.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $72.37 / $128.38	Professional		$56.01	$72.37	$128.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $5,752.36 / $9,420.04	Facility		$162.56	$5,752.36	$9,420.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $204.91 / $523.75	Professional		$115.74	$204.91	$523.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $5,752.36 / $9,513.43	Facility		$162.56	$5,752.36	$9,513.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $198.66 / $573.66	Professional		$117.16	$198.66	$573.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $88.46 / $175.61	Professional		$40.58	$88.46	$175.61
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 $128.13 / $173.13 / $495.74	Professional		$128.13	$173.13	$495.74