Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $17.57 / $79.81	Facility		$12.12	$17.57	$79.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $230.00 / $250.39	Professional		$100.00	$230.00	$250.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.26 / $100.26 / $100.26	Facility		$100.26	$100.26	$100.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $74.25 / $74.25	Professional		$70.88	$74.25	$74.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $7.17 / $7.17	Facility		$7.17	$7.17	$7.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $89.50 / $143.68	Professional		$70.12	$89.50	$143.68