Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $120.23	Professional		$89.13	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $109.65	Professional		$91.20	$97.72	$109.65