Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Facility		$574.00	$574.00	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $333.00 / $532.97	Professional		$292.00	$333.00	$532.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $243.00 / $61,249.39	Facility		$157.94	$243.00	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $206.55 / $255.15	Professional		$157.94	$206.55	$255.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $1,423.10	Facility		$424.00	$424.00	$1,423.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $366.38 / $424.00	Professional		$360.40	$366.38	$424.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Professional		$424.00	$424.00	$424.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $234.00 / $424.56	Professional		$135.00	$234.00	$424.56