Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $240.63 / $274.81	Facility		$240.63	$240.63	$274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $268.56 / $358.26	Professional		$240.63	$268.56	$358.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $164.36 / $304.00	Professional		$54.72	$164.36	$304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $48.79 / $67.59	Facility		$36.26	$48.79	$67.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $48.35 / $96.48	Professional		$31.54	$48.35	$96.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $64.00 / $64.00	Facility		$43.07	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $558.75 / $709.61	Professional		$34.33	$558.75	$709.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $43.07	Facility		$43.07	$43.07	$43.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $34.33 / $51.63	Professional		$34.33	$34.33	$51.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $24.24 / $43.25	Professional		$15.45	$24.24	$43.25