Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $468.06 / $6,176.04	Facility		$138.74	$468.06	$6,176.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.61	Professional		$138.74	$138.74	$152.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $159.55 / $269.37	Professional		$138.74	$159.55	$269.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $235.86	Facility		$138.74	$138.74	$235.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $187.30	Professional		$138.74	$138.74	$187.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $130.88 / $138.74	Facility		$130.88	$130.88	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $196.33	Professional		$138.74	$138.74	$196.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $506.93 / $1,213.00	Facility		$176.36	$506.93	$1,213.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $224.55	Professional		$138.74	$138.74	$224.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $166.48 / $197.73	Professional		$136.37	$166.48	$197.73
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $180.64	Professional		$138.74	$138.74	$180.64