Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $30.86 / $212.00	Facility		$30.86	$30.86	$212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $50.29 / $63.06	Professional		$30.86	$50.29	$63.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $97.60 / $154.90	Professional		$84.00	$97.60	$154.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $61,249.39	Facility		$43,749.56	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
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 $60.55 / $60.55 / $66.61	Professional		$60.55	$60.55	$66.61