Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $350.00	Facility		$98.11	$98.11	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $101.05	Professional		$98.11	$98.11	$101.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $112.04 / $190.49	Professional		$98.11	$112.04	$190.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $166.79	Facility		$98.11	$98.11	$166.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $132.44	Professional		$98.11	$98.11	$132.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.55 / $98.11	Facility		$92.55	$92.55	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $200.03	Professional		$98.11	$98.11	$200.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $240.04 / $240.04	Facility		$240.04	$240.04	$240.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $165.56	Professional		$98.11	$98.11	$165.56
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 $98.11 / $98.11 / $127.74	Professional		$98.11	$98.11	$127.74