Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.29 / $259.39 / $711.76	Facility		$113.29	$259.39	$711.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $113.30 / $240.20	Professional		$57.04	$113.30	$240.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $92.15 / $151.50	Professional		$76.45	$92.15	$151.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $109.30 / $153.24	Facility		$27.25	$109.30	$153.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $113.51 / $186.94	Professional		$29.72	$113.51	$186.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.04 / $323.26 / $358.12	Facility		$119.04	$323.26	$358.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $124.86 / $211.05	Professional		$77.83	$124.86	$211.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $119.04 / $345.21 / $1,008.22	Facility		$119.04	$345.21	$1,008.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $126.67 / $222.04	Professional		$73.92	$126.67	$222.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $90.62 / $125.74	Professional		$60.00	$90.62	$125.74
United Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $97.71 / $187.19	Professional		$57.39	$97.71	$187.19