Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $86.09 / $86.09	Facility		$86.09	$86.09	$86.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $93.91 / $123.65	Professional		$86.09	$93.91	$123.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.37 / $200.35 / $320.56	Facility		$145.37	$200.35	$320.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $63.82 / $510.26	Professional		$55.50	$63.82	$510.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $120.20 / $208.36	Facility		$14.43	$120.20	$208.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $120.21 / $2,799.90	Professional		$13.63	$120.21	$2,799.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $187.82	Facility		$98.45	$98.45	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $232.50	Professional		$83.68	$98.45	$232.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Professional		$98.45	$98.45	$98.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,830.00 / $3,172.00 / $5,755.22	Professional		$1,830.00	$3,172.00	$5,755.22
United Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $64.84 / $126.39	Facility		$7.98	$64.84	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $93.91 / $128.22	Professional		$59.87	$93.91	$128.22