Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $137.18 / $368.07	Facility		$47.76	$137.18	$368.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $108.02 / $167.08	Professional		$44.62	$108.02	$167.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $120.36 / $281.67	Professional		$49.45	$120.36	$281.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $47.28 / $61.43	Facility		$40.43	$47.28	$61.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $124.91 / $158.97	Professional		$51.70	$124.91	$158.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $190.50	Facility		$71.19	$71.19	$190.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $119.23 / $217.31	Professional		$45.81	$119.23	$217.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $170.72 / $190.50	Facility		$71.19	$170.72	$190.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $122.05 / $213.01	Professional		$46.92	$122.05	$213.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $144.89 / $201.79	Professional		$107.76	$144.89	$201.79
United Facility/Professional Facility Modifier Low / Median / High Price $422.94 / $493.83 / $590.70	Facility		$422.94	$493.83	$590.70
United Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $137.90 / $223.51	Professional		$102.49	$137.90	$223.51