Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.40 / $516.40 / $741.40	Facility		$516.40	$516.40	$741.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $753.66 / $1,005.44	Professional		$516.40	$753.66	$1,005.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $289.56 / $700.20	Professional		$109.79	$289.56	$700.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $145.05 / $579.15	Facility		$82.93	$145.05	$579.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $193.05 / $568.01	Professional		$82.20	$193.05	$568.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $95.00	Facility		$64.00	$64.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $4,077.00 / $5,177.79	Professional		$71.76	$4,077.00	$5,177.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $83.43 / $228.80	Professional		$71.76	$83.43	$228.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $270.60 / $412.50	Professional		$176.00	$270.60	$412.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $65.05 / $160.33	Professional		$40.57	$65.05	$160.33