Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $311.33 / $11,581.00	Facility		$77.77	$311.33	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $164.78 / $252.09	Professional		$63.12	$164.78	$252.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $103.01 / $237.69	Professional		$59.31	$103.01	$237.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $77.75 / $92.38	Facility		$61.55	$77.75	$92.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $198.08 / $225.09	Professional		$184.20	$198.08	$225.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $242.43	Facility		$107.24	$107.24	$242.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $176.89 / $321.29	Professional		$68.59	$176.89	$321.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $449.19 / $578.20	Facility		$107.24	$449.19	$578.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $178.11 / $313.38	Professional		$69.47	$178.11	$313.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $215.62 / $304.21	Professional		$160.59	$215.62	$304.21
United Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $221.00 / $434.75	Professional		$133.68	$221.00	$434.75