Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $747.00	Facility		$1.26	$1.26	$747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.23 / $225.90	Professional		$90.00	$112.23	$225.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.77 / $314.77 / $384.73	Facility		$314.77	$314.77	$384.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $267.07 / $267.07 / $267.07	Facility		$267.07	$267.07	$267.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00