Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $267.89 / $430.97	Facility		$103.54	$267.89	$430.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $287.83	Professional		$103.54	$103.54	$287.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $111.94 / $177.45	Professional		$111.85	$111.94	$177.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $50,749.49 / $61,249.39	Facility		$89.58	$50,749.49	$61,249.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $115.51 / $115.51	Professional		$115.51	$115.51	$115.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $180.04	Professional		$129.41	$129.41	$180.04