Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $2,178.00	Facility		$70.00	$70.00	$2,178.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $112.81	Professional		$70.00	$70.00	$112.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $159.41 / $277.64	Professional		$143.00	$159.41	$277.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $341.00 / $341.00	Professional		$341.00	$341.00	$341.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $51.14 / $66.20	Facility		$37.88	$51.14	$66.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $51.14 / $66.86	Professional		$41.67	$51.14	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,513.40 / $1,513.40 / $1,513.40	Facility		$1,513.40	$1,513.40	$1,513.40
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 $150.00 / $150.00 / $200.00	Professional		$150.00	$150.00	$200.00