Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.07 / $229.77 / $428.00	Facility		$172.07	$229.77	$428.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $172.07 / $305.86	Professional		$172.07	$172.07	$305.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $155.11 / $352.54	Professional		$120.90	$155.11	$352.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $232.25 / $325.77	Facility		$116.40	$232.25	$325.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $135.96 / $563.48	Facility		$116.45	$135.96	$563.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $204.80 / $382.92	Professional		$105.09	$204.80	$382.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $135.96 / $563.48	Facility		$116.45	$135.96	$563.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $204.80 / $404.97	Professional		$105.09	$204.80	$404.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $157.82 / $307.74	Professional		$100.33	$157.82	$307.74
United Facility/Professional Facility Modifier Low / Median / High Price $787.38 / $787.38 / $787.38	Facility		$787.38	$787.38	$787.38
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $219.71 / $350.99	Professional		$131.83	$219.71	$350.99