Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.01 / $193.01 / $193.01	Facility		$193.01	$193.01	$193.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $238.98 / $238.98	Professional		$193.01	$238.98	$238.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $274.26 / $420.55	Professional		$261.20	$274.26	$420.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.13 / $472.50 / $614.25	Facility		$307.13	$472.50	$614.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $401.63 / $496.13	Professional		$307.13	$401.63	$496.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $180.13 / $180.13	Facility		$64.00	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $153.11 / $180.13	Professional		$153.11	$153.11	$180.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Professional		$180.13	$180.13	$180.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $455.00 / $825.54	Professional		$262.50	$455.00	$825.54