Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.26 / $179.59 / $2,626.44	Facility		$163.26	$179.59	$2,626.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $153.37 / $184.35	Professional		$79.11	$153.37	$184.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $163.90 / $514.32	Professional		$109.27	$163.90	$514.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $222.78 / $288.82	Facility		$194.46	$222.78	$288.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $213.91 / $272.24	Professional		$123.54	$213.91	$272.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $210.30 / $479.74	Professional		$153.62	$210.30	$479.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $210.30 / $323.63	Professional		$157.72	$210.30	$323.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $143.79 / $184.75	Professional		$95.86	$143.79	$184.75
United Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $121.77 / $240.45	Professional		$69.00	$121.77	$240.45