Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $143.00 / $143.00	Facility		$42.39	$143.00	$143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $98.90 / $117.40	Professional		$42.39	$98.90	$117.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $14.75 / $27.52	Professional		$0.34	$14.75	$27.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $363.00 / $742.50	Facility		$24.31	$363.00	$742.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $378.68 / $668.25	Professional		$25.25	$378.68	$668.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $298.13 / $298.13	Professional		$128.30	$298.13	$298.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $128.30 / $298.13	Professional		$128.30	$128.30	$298.13
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 Professional Modifier Low / Median / High Price $85.59 / $122.28 / $216.58	Professional		$85.59	$122.28	$216.58