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 $108.86 / $120.45 / $250.85	Professional		$108.86	$120.45	$250.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $288.50 / $502.04	Professional		$162.47	$288.50	$502.04
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 / $1,113.30 / $2,232.96	Facility		$162.56	$1,113.30	$2,232.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $204.91 / $558.16	Professional		$115.74	$204.91	$558.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $1,113.30 / $2,490.94	Facility		$162.56	$1,113.30	$2,490.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $198.66 / $581.88	Professional		$117.16	$198.66	$581.88
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 Professional Modifier Low / Median / High Price $124.09 / $173.05 / $489.90	Professional		$124.09	$173.05	$489.90