Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.40 / $516.40 / $854.53	Facility		$516.40	$516.40	$854.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $753.66 / $1,019.94	Professional		$516.40	$753.66	$1,019.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $289.56 / $575.97	Professional		$113.93	$289.56	$575.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $135.00 / $263.25	Facility		$82.93	$135.00	$263.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $126.84 / $258.19	Professional		$72.53	$126.84	$258.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $1,045.06 / $1,045.06	Facility		$95.00	$1,045.06	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $71.76	Professional		$24.99	$24.99	$71.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $1,045.06	Facility		$95.00	$95.00	$1,045.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $81.00	Professional		$24.99	$24.99	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $130.00 / $187.50	Professional		$93.00	$130.00	$187.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $77.62 / $363.50	Professional		$41.68	$77.62	$363.50