Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $128.00 / $128.00	Professional		$119.70	$128.00	$128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $150.00	Professional		$52.80	$52.80	$150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.34 / $249.75 / $61,249.39	Facility		$162.34	$249.75	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $212.29 / $249.75	Professional		$162.34	$212.29	$249.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $94.50 / $94.50	Facility		$64.00	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $94.50 / $120.00	Professional		$94.50	$94.50	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $240.50 / $436.35	Professional		$138.75	$240.50	$436.35