Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $546.00	Facility		$60.21	$60.21	$546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $60.21 / $84.12	Professional		$59.81	$60.21	$84.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $137.04 / $193.63	Professional		$118.14	$137.04	$193.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $143.61 / $209.59	Facility		$106.38	$143.61	$209.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $103.41 / $184.46	Professional		$74.38	$103.41	$184.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $187.04	Facility		$56.50	$56.50	$187.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $56.50	Professional		$41.25	$41.25	$56.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $56.50	Professional		$41.25	$56.50	$56.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $93.23 / $110.18	Professional		$84.76	$93.23	$110.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $71.62 / $119.21	Professional		$47.68	$71.62	$119.21