Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $921.00	Facility		$105.08	$105.08	$921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $115.23 / $33,907.19	Professional		$105.08	$115.23	$33,907.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $285.31 / $615.98	Professional		$250.00	$285.31	$615.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $243.01 / $318.08	Facility		$75.76	$243.01	$318.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $90.91 / $471.65	Professional		$65.65	$90.91	$471.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $482.61 / $482.61	Facility		$358.74	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $482.61 / $482.61	Professional		$410.22	$482.61	$482.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $150.06 / $376.21	Professional		$91.54	$150.06	$376.21