Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $153.00 / $301.00	Facility		$147.00	$153.00	$301.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $94.54 / $97.63	Professional		$55.57	$94.54	$97.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $171.36 / $272.22	Professional		$96.70	$171.36	$272.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $79.78 / $116.15	Facility		$79.78	$79.78	$116.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $86.03 / $86.03	Professional		$55.79	$86.03	$86.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.77 / $1,824.50 / $2,441.50	Facility		$836.77	$1,824.50	$2,441.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $124.45 / $200.67	Professional		$100.06	$124.45	$200.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $836.77 / $1,824.50 / $2,441.50	Facility		$836.77	$1,824.50	$2,441.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $156.63 / $279.30	Professional		$156.63	$156.63	$279.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $43.29 / $59.04	Professional		$43.29	$43.29	$59.04
United Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $105.58 / $243.34	Professional		$79.73	$105.58	$243.34