Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $106.97 / $106.97	Facility		$100.00	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $110.18	Professional		$106.97	$106.97	$110.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $122.15 / $207.69	Professional		$106.97	$122.15	$207.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $161.52	Facility		$106.97	$106.97	$161.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $144.41	Professional		$106.97	$106.97	$144.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $100.91 / $106.97	Facility		$100.91	$100.91	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.05	Professional		$106.97	$106.97	$112.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $95.24 / $95.24	Facility		$95.24	$95.24	$95.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $126.14	Professional		$106.97	$106.97	$126.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $71.22	Professional		$40.00	$50.00	$71.22
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $136.71	Professional		$106.97	$106.97	$136.71