Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $134.47 / $176.34	Professional		$131.52	$134.47	$176.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $152.41 / $252.86	Professional		$152.40	$152.41	$252.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $25.04 / $202.50	Facility		$18.78	$25.04	$202.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $53.62 / $202.50	Professional		$17.53	$53.62	$202.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $236.75	Facility		$153.77	$153.77	$236.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $288.75	Professional		$130.69	$153.77	$288.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $153.77	Professional		$130.69	$153.77	$153.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $135.00 / $187.50	Professional		$90.00	$135.00	$187.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $96.49 / $155.52	Professional		$70.25	$96.49	$155.52