Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.89 / $309.89 / $309.89	Facility		$309.89	$309.89	$309.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $309.89 / $432.94	Professional		$309.89	$309.89	$432.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $512.00 / $819.45	Professional		$416.50	$512.00	$819.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $100.39 / $1,003.83	Facility		$44.08	$100.39	$1,003.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $105.41 / $1,003.83	Professional		$65.25	$105.41	$1,003.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $692.70	Facility		$128.00	$128.00	$692.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $348.75	Professional		$108.80	$128.00	$348.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $250.00	Facility		$128.00	$128.00	$250.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $128.00	Professional		$108.80	$128.00	$128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $85.51 / $855.11	Professional		$74.36	$85.51	$855.11
United Facility/Professional Professional Modifier Low / Median / High Price $268.22 / $368.60 / $534.77	Professional		$268.22	$368.60	$534.77