Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $186.60 / $1,119.14	Facility		$71.50	$186.60	$1,119.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $81.19	Professional		$36.11	$36.11	$81.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.60 / $49.59	Professional		$30.00	$33.60	$49.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $127.35 / $155.63	Facility		$127.35	$127.35	$155.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $190.11 / $190.11	Facility		$190.11	$190.11	$190.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $156.78 / $156.78 / $184.24	Facility		$156.78	$156.78	$184.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $67.43 / $67.43	Facility		$67.43	$67.43	$67.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $41.96 / $41.96	Professional		$41.96	$41.96	$41.96