Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $224.00	Facility		$129.66	$129.66	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $137.77	Professional		$129.66	$129.66	$137.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $186.39 / $277.49	Professional		$162.08	$186.39	$277.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.81 / $218.81 / $371.98	Facility		$218.81	$218.81	$371.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $218.81 / $218.81	Professional		$162.08	$218.81	$218.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $178.28	Professional		$40.00	$50.00	$178.28
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $201.14	Professional		$162.08	$162.08	$201.14