Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $376.00 / $616.00	Facility		$160.00	$376.00	$616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $428.21	Professional		$160.00	$160.00	$428.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.60 / $216.00 / $353.94	Facility		$176.60	$216.00	$353.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $104.00 / $320.10	Professional		$80.00	$104.00	$320.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $260.00 / $330.00	Facility		$200.00	$260.00	$330.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $270.00 / $480.00	Professional		$260.00	$270.00	$480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.79 / $291.11 / $1,141.40	Facility		$205.79	$291.11	$1,141.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $175.32 / $435.32	Professional		$91.47	$175.32	$435.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $205.79 / $291.11 / $1,141.40	Facility		$205.79	$291.11	$1,141.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $179.94 / $435.32	Professional		$91.47	$179.94	$435.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $180.00 / $247.50	Professional		$157.50	$180.00	$247.50
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $264.14	Professional		$84.00	$120.00	$264.14