Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $291.50 / $510.00	Facility		$148.57	$291.50	$510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $146.83 / $194.27	Professional		$114.86	$146.83	$194.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $165.69 / $280.70	Professional		$126.36	$165.69	$280.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $92.22 / $175.15	Facility		$39.70	$92.22	$175.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $86.91 / $147.41	Professional		$42.81	$86.91	$147.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.37 / $151.37 / $151.37	Facility		$151.37	$151.37	$151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $181.76 / $358.17	Professional		$121.10	$181.76	$358.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.37 / $151.37 / $151.37	Facility		$151.37	$151.37	$151.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $173.35 / $269.07	Professional		$117.93	$173.35	$269.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $111.20 / $171.52	Professional		$38.81	$111.20	$171.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $168.21 / $301.83	Professional		$114.23	$168.21	$301.83