Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.46 / $96.46 / $290.00	Facility		$96.46	$96.46	$290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $96.46 / $124.96	Professional		$78.67	$96.46	$124.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $86.50 / $132.30	Professional		$70.00	$86.50	$132.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $112.98 / $112.98	Facility		$108.80	$112.98	$112.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $112.42 / $195.09	Professional		$73.95	$112.42	$195.09