Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.52 / $185.32 / $955.30	Facility		$101.52	$185.32	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $101.52 / $284.39	Professional		$101.52	$101.52	$284.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $147.69 / $249.27	Professional		$125.36	$147.69	$249.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $77.11 / $146.46	Facility		$23.47	$77.11	$146.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $83.16 / $145.76	Professional		$25.31	$83.16	$145.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.31 / $1,218.89 / $1,325.32	Facility		$279.31	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.90 / $168.17 / $306.76	Professional		$98.90	$168.17	$306.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $279.31 / $1,218.89 / $1,325.32	Facility		$279.31	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $168.17 / $306.76	Professional		$102.13	$168.17	$306.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $123.98 / $185.65	Professional		$41.71	$123.98	$185.65
United Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $133.12 / $250.82	Professional		$99.95	$133.12	$250.82