Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.32 / $381.20 / $1,260.00	Facility		$119.32	$381.20	$1,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $135.13 / $178.35	Professional		$110.99	$135.13	$178.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $150.88 / $242.61	Professional		$107.95	$150.88	$242.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $115.44 / $155.84	Facility		$86.58	$115.44	$155.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $154.13 / $154.13	Professional		$154.13	$154.13	$154.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $178.93 / $319.01	Professional		$124.60	$178.93	$319.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $183.56 / $295.33	Professional		$124.60	$183.56	$295.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $171.18 / $250.14	Professional		$129.88	$171.18	$250.14
United Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $201.90 / $382.92	Professional		$137.01	$201.90	$382.92