Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.54 / $115.24 / $3,311.68	Facility		$63.54	$115.24	$3,311.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $63.54 / $178.78	Professional		$63.54	$63.54	$178.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,953.51 / $3,127.10 / $3,569.39	Facility		$2,953.51	$3,127.10	$3,569.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $61.83 / $102.84	Professional		$45.85	$61.83	$102.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $56.06 / $92.58	Facility		$7.51	$56.06	$92.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $60.47 / $78.26	Professional		$8.10	$60.47	$78.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $4,196.45 / $4,594.42	Facility		$225.24	$4,196.45	$4,594.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $94.45 / $165.95	Professional		$60.27	$94.45	$165.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $4,196.45 / $4,594.42	Facility		$225.24	$4,196.45	$4,594.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $87.26 / $165.95	Professional		$62.33	$87.26	$165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $74.96 / $104.07	Professional		$58.79	$74.96	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $79.79 / $142.22	Professional		$45.75	$79.79	$142.22