Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $119.01	Facility		$101.72	$101.72	$119.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $104.77	Professional		$101.72	$101.72	$104.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $116.16 / $197.49	Professional		$101.72	$116.16	$197.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $172.92	Facility		$101.72	$101.72	$172.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $137.32	Professional		$101.72	$101.72	$137.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $101.72	Facility		$95.96	$95.96	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $143.94	Professional		$101.72	$101.72	$143.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $229.98 / $229.98	Facility		$229.98	$229.98	$229.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $166.08	Professional		$101.72	$101.72	$166.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $125.90 / $147.35	Professional		$102.18	$125.90	$147.35
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $132.44	Professional		$101.72	$101.72	$132.44