Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $541.00 / $918.00	Facility		$240.00	$541.00	$918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $307.20	Professional		$240.00	$240.00	$307.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.68 / $385.27 / $660.59	Facility		$234.68	$385.27	$660.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $217.30 / $344.74	Professional		$217.30	$217.30	$344.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $255.00	Facility		$56.58	$56.58	$255.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $56.58 / $56.58	Professional		$56.58	$56.58	$56.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $300.00	Professional		$255.00	$255.00	$300.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $300.00	Professional		$255.00	$255.00	$300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $239.03 / $315.08	Professional		$217.30	$239.03	$315.08
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $267.75	Professional		$100.00	$250.00	$267.75