Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $108.77 / $270.00	Facility		$97.12	$108.77	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $103.42 / $140.41	Professional		$80.30	$103.42	$140.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $37.65 / $39.14	Facility		$37.65	$37.65	$39.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $29.32 / $56.87	Professional		$24.22	$29.32	$56.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $61,249.39	Facility		$43,749.56	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $128.00 / $186.03	Facility		$65.00	$128.00	$186.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $175.18 / $251.35	Professional		$116.92	$175.18	$251.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $128.00 / $229.10	Facility		$65.00	$128.00	$229.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $182.80 / $270.00	Professional		$126.67	$182.80	$270.00
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 $94.38 / $138.69 / $171.31	Professional		$94.38	$138.69	$171.31