Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.13 / $253.00	Facility		$70.13	$70.13	$253.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $72.54 / $116.69	Professional		$70.13	$72.54	$116.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $103.70 / $202.12	Professional		$94.38	$103.70	$202.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $14.44 / $249.76	Facility		$10.03	$14.44	$249.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $21.23 / $212.30	Professional		$9.85	$21.23	$212.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $111.93 / $177.90	Facility		$80.29	$111.93	$177.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $98.98 / $192.19	Professional		$11.49	$98.98	$192.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $153.49	Facility		$80.29	$80.29	$153.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $98.98 / $114.91	Professional		$10.52	$98.98	$114.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $30.52 / $203.51	Professional		$13.87	$30.52	$203.51
United Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $67.00 / $106.19	Professional		$33.64	$67.00	$106.19