Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $139.32 / $432.00	Facility		$139.32	$139.32	$432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $139.32 / $238.07	Professional		$132.97	$139.32	$238.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.70 / $208.60 / $415.75	Professional		$181.70	$208.60	$415.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $28.70 / $488.17	Facility		$19.57	$28.70	$488.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $41.50 / $414.95	Professional		$19.57	$41.50	$414.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $220.18	Facility		$178.86	$178.86	$220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $379.69	Professional		$152.03	$152.03	$379.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $178.86 / $199.24	Facility		$156.88	$178.86	$199.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $178.86 / $178.86	Professional		$152.03	$178.86	$178.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $59.66 / $397.77	Professional		$27.12	$59.66	$397.77
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $128.84 / $207.56	Professional		$73.62	$128.84	$207.56