Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $217.20 / $7,262.40	Facility		$100.30	$217.20	$7,262.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.30 / $127.25	Professional		$100.09	$100.30	$127.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $161.13 / $250.23	Facility		$108.10	$161.13	$250.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $112.60 / $167.43	Professional		$100.09	$112.60	$167.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $150.25	Facility		$100.09	$100.09	$150.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $135.12	Professional		$100.09	$100.09	$135.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $100.09 / $102.69	Facility		$94.42	$100.09	$102.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $125.68	Professional		$100.09	$100.09	$125.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $102.69 / $222.39	Facility		$96.95	$102.69	$222.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $141.63	Professional		$100.09	$100.09	$141.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $115.10 / $140.85	Professional		$100.09	$115.10	$140.85
United Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $100.09 / $124.04	Professional		$95.09	$100.09	$124.04