Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $123.00 / $123.00	Facility		$121.00	$123.00	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.69	Professional		$123.00	$123.00	$130.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $72.44 / $118.49	Professional		$59.38	$72.44	$118.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $61.67 / $79.65	Facility		$53.63	$61.67	$79.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Professional		$53.63	$53.63	$53.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $60.56 / $60.56	Facility		$60.56	$60.56	$60.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $159.01	Professional		$128.13	$128.13	$159.01