Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $42.76 / $251.00	Facility		$42.76	$42.76	$251.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $46.45 / $100.34	Professional		$42.76	$46.45	$100.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $188.78 / $329.59	Professional		$144.13	$188.78	$329.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $458.28 / $1,180.25	Facility		$45.71	$458.28	$1,180.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $490.05 / $1,072.77	Professional		$47.68	$490.05	$1,072.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $65.62 / $65.62	Facility		$65.62	$65.62	$65.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $41.55 / $180.13	Professional		$33.24	$41.55	$180.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $65.62 / $65.62	Facility		$65.62	$65.62	$65.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $41.55 / $180.13	Professional		$33.24	$41.55	$180.13
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 Facility Modifier Low / Median / High Price $1,442.00 / $2,899.00 / $6,111.00	Facility		$1,442.00	$2,899.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $80.05 / $145.63	Professional		$56.04	$80.05	$145.63