Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $352.63 / $588.29	Facility		$145.46	$352.63	$588.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $145.46 / $301.33	Professional		$118.94	$145.46	$301.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $265.72 / $490.85	Professional		$186.46	$265.72	$490.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $94.15 / $221.56	Facility		$58.00	$94.15	$221.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $101.54 / $164.09	Professional		$62.55	$101.54	$164.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.34 / $5,136.28 / $9,015.54	Facility		$207.34	$5,136.28	$9,015.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $227.84 / $546.62	Professional		$140.94	$227.84	$546.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $207.34 / $5,136.28 / $9,015.54	Facility		$207.34	$5,136.28	$9,015.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $219.28 / $568.46	Professional		$141.46	$219.28	$568.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $127.93 / $221.83	Professional		$40.58	$127.93	$221.83
United Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $224.20 / $495.37	Professional		$145.46	$224.20	$495.37