Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $240.63 / $274.81	Facility		$88.00	$240.63	$274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $265.14 / $358.26	Professional		$240.63	$265.14	$358.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $127.34 / $300.39	Professional		$51.63	$127.34	$300.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $53.19 / $67.69	Facility		$41.47	$53.19	$67.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $56.02 / $96.48	Professional		$35.10	$56.02	$96.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $318.39	Facility		$64.00	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $270.64 / $318.39	Professional		$26.73	$270.64	$318.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $44.00 / $56.00	Professional		$32.00	$44.00	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $24.26 / $51.63	Professional		$15.45	$24.26	$51.63