Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $164.32 / $712.95	Facility		$22.36	$164.32	$712.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $123.36 / $238.32	Professional		$22.36	$123.36	$238.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $132.41 / $415.12	Professional		$29.99	$132.41	$415.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $20.56 / $27.88	Facility		$18.34	$20.56	$27.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $149.01 / $189.64	Professional		$23.46	$149.01	$189.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $301.87	Facility		$32.03	$32.03	$301.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $143.09 / $320.19	Professional		$22.85	$143.09	$320.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $287.66 / $301.87	Facility		$32.03	$287.66	$301.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $153.44 / $313.89	Professional		$22.52	$153.44	$313.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $141.44 / $200.67	Professional		$104.28	$141.44	$200.67
United Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $208.42 / $347.94	Professional		$148.49	$208.42	$347.94