Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $385.53 / $558.00	Facility		$228.21	$385.53	$558.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $228.21 / $338.43	Professional		$165.58	$228.21	$338.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $145.18 / $291.42	Professional		$98.50	$145.18	$291.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $66.73 / $132.36	Facility		$43.27	$66.73	$132.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $56.46 / $102.10	Professional		$41.59	$56.46	$102.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $529.73 / $830.36	Facility		$114.16	$529.73	$830.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $127.07 / $205.04	Professional		$89.10	$127.07	$205.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $497.35 / $830.36	Facility		$122.40	$497.35	$830.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $127.07 / $205.04	Professional		$89.15	$127.07	$205.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $40.40 / $54.70	Professional		$26.93	$40.40	$54.70
United Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $275.31 / $407.87	Professional		$99.73	$275.31	$407.87