Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.41 / $331.41 / $331.41	Facility		$331.41	$331.41	$331.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $387.41 / $463.00	Professional		$331.41	$387.41	$463.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.30 / $491.71 / $749.52	Professional		$468.30	$491.71	$749.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $96.84 / $968.36	Facility		$42.90	$96.84	$968.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $101.68 / $968.36	Professional		$62.94	$101.68	$968.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $740.79	Facility		$200.00	$200.00	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $686.25	Professional		$170.00	$200.00	$686.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $400.00	Facility		$200.00	$200.00	$400.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $200.00 / $200.00	Professional		$179.00	$200.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $82.48 / $824.89	Professional		$71.73	$82.48	$824.89
United Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $403.15 / $602.55	Professional		$286.83	$403.15	$602.55