Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $299.52	Facility		$173.00	$173.00	$299.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $156.71 / $221.42	Professional		$135.10	$156.71	$221.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.29 / $288.98 / $389.01	Facility		$222.29	$288.98	$389.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $188.95 / $233.41	Professional		$144.49	$188.95	$233.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $263.02 / $263.02	Facility		$70.00	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $263.02 / $263.02	Professional		$192.01	$263.02	$263.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $181.12 / $189.35	Professional		$164.66	$181.12	$189.35
United Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $614.21	Professional		$614.21	$614.21	$614.21