Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $85.11 / $123.03	Facility		$56.23	$85.11	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $107.15	Professional		$54.95	$64.57	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $501.19	Professional		$112.20	$144.54	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $309.03 / $537.03	Facility		$120.23	$309.03	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Professional		$269.15	$269.15	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Professional		$102.33	$102.33	$138.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Professional		$102.33	$102.33	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $208.93	Professional		$158.49	$177.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $114.82	Facility		$57.54	$75.86	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $112.20	Professional		$44.67	$67.61	$112.20