Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $103.52 / $376.00	Facility		$103.52	$103.52	$376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $103.52 / $103.52	Professional		$96.72	$103.52	$103.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $100.00 / $146.21	Professional		$0.02	$100.00	$146.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.88 / $157.88 / $157.88	Facility		$157.88	$157.88	$157.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $116.94 / $116.94	Professional		$111.63	$116.94	$116.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $672.71 / $672.71 / $672.71	Facility		$672.71	$672.71	$672.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $133.88 / $192.36	Professional		$73.63	$133.88	$192.36