Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $136.00	Facility		$10.84	$10.84	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.84 / $15.15	Professional		$10.77	$10.84	$15.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $24.75 / $54.93	Professional		$21.34	$24.75	$54.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $187.07 / $327.37	Facility		$21.16	$187.07	$327.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $159.01 / $196.42	Professional		$84.09	$159.01	$196.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $28.09 / $28.09	Facility		$24.24	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.09	Professional		$20.51	$20.51	$28.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $28.09	Professional		$20.51	$28.09	$28.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $152.42 / $180.14	Professional		$138.57	$152.42	$180.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.89 / $21.46	Professional		$8.58	$12.89	$21.46