Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.10 / $579.00 / $955.30	Facility		$366.10	$579.00	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $366.10 / $601.21	Professional		$305.69	$366.10	$601.21
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 $141.58 / $212.22 / $425.64	Professional		$141.58	$212.22	$425.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $40.86 / $80.88	Facility		$14.68	$40.86	$80.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $48.10 / $240.48	Professional		$15.83	$48.10	$240.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.48 / $1,218.89 / $1,325.32	Facility		$757.48	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $88.37 / $157.66	Professional		$57.33	$88.37	$157.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $757.48 / $1,218.89 / $1,325.32	Facility		$757.48	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $84.13 / $153.28	Professional		$57.17	$84.13	$153.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.32 / $169.65	Professional		$28.84	$37.32	$169.65
United Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $381.43 / $730.95	Professional		$88.81	$381.43	$730.95