Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $258.00 / $462.00	Facility		$120.00	$258.00	$462.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $120.00 / $123.00	Professional		$105.00	$120.00	$123.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $162.00 / $363.32	Professional		$31.29	$162.00	$363.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $438.75 / $4,314.68	Facility		$150.00	$438.75	$4,314.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $360.00 / $3,530.21	Professional		$156.90	$360.00	$3,530.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $170.63 / $856.05	Facility		$154.34	$170.63	$856.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $196.50 / $843.46	Professional		$87.75	$196.50	$843.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $170.63 / $856.05	Facility		$154.34	$170.63	$856.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $87.75	Professional		$87.75	$87.75	$87.75
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $198.11	Professional		$63.00	$90.00	$198.11