Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.53 / $88.53 / $257.00	Facility		$88.53	$88.53	$257.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $88.53 / $112.99	Professional		$63.28	$88.53	$112.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.24 / $294.58 / $475.26	Professional		$214.24	$294.58	$475.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $1,204.73 / $2,657.48	Facility		$80.31	$1,204.73	$2,657.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $1,355.31 / $2,391.73	Professional		$90.35	$1,355.31	$2,391.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $21,571.00	Facility		$75.00	$75.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $34.29 / $78.11	Professional		$28.62	$34.29	$78.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $635.00	Facility		$75.00	$75.00	$635.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $353.50 / $353.50	Professional		$353.50	$353.50	$353.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $91.68 / $154.83	Professional		$64.54	$91.68	$154.83