Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $296.66 / $495.27	Facility		$294.00	$296.66	$495.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $295.81 / $356.79	Professional		$127.50	$295.81	$356.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $313.64 / $491.70	Professional		$240.00	$313.64	$491.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.24 / $209.20 / $12,758.32	Facility		$115.24	$209.20	$12,758.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $127.61 / $217.91	Professional		$46.15	$127.61	$217.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Facility		$353.38	$353.38	$353.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $374.11 / $580.01	Professional		$271.16	$374.11	$580.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $806.85	Facility		$353.38	$353.38	$806.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $377.01 / $580.01	Professional		$271.16	$377.01	$580.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $51.90 / $75.55	Professional		$11.41	$51.90	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $231.26 / $319.82 / $547.87	Professional		$231.26	$319.82	$547.87