Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $254.18 / $453.59	Facility		$142.63	$254.18	$453.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $142.63 / $257.38	Professional		$90.00	$142.63	$257.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $63.89 / $130.29	Professional		$57.05	$63.89	$130.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $185.42 / $242.47	Facility		$142.63	$185.42	$242.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $185.42 / $311.88	Professional		$142.63	$185.42	$311.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $179.86 / $961.60	Facility		$162.24	$179.86	$961.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $142.63 / $214.92	Professional		$71.98	$142.63	$214.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $182.06 / $312.89	Facility		$96.67	$182.06	$312.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $136.91 / $206.24	Professional		$68.76	$136.91	$206.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $128.36 / $176.50	Professional		$112.31	$128.36	$176.50
United Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $87.18 / $191.90	Professional		$61.03	$87.18	$191.90