Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $516.00 / $750.00	Facility		$240.00	$516.00	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $240.00 / $433.08	Professional		$61.17	$240.00	$433.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $324.00 / $530.91	Facility		$264.89	$324.00	$530.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $156.00 / $1,000.22	Professional		$120.00	$156.00	$1,000.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $390.00 / $495.00	Facility		$300.00	$390.00	$495.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $405.00 / $720.00	Professional		$390.00	$405.00	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.85 / $308.88 / $1,712.10	Facility		$200.85	$308.88	$1,712.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $137.49 / $581.29	Professional		$40.50	$137.49	$581.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.85 / $308.88 / $1,712.10	Facility		$200.85	$308.88	$1,712.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $144.96 / $581.29	Professional		$40.50	$144.96	$581.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $270.00 / $371.25	Professional		$236.25	$270.00	$371.25
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $270.00	Facility		$108.00	$108.00	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $180.00 / $396.21	Professional		$36.79	$180.00	$396.21