Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $326.00	Facility		$131.90	$131.90	$326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $135.86	Professional		$131.90	$131.90	$135.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $153.00 / $271.77	Professional		$131.90	$153.00	$271.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $224.23	Facility		$131.90	$131.90	$224.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $178.07	Professional		$131.90	$131.90	$178.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $124.43 / $131.90	Facility		$124.43	$124.43	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $186.65	Professional		$131.90	$131.90	$186.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $382.50 / $382.50	Facility		$382.50	$382.50	$382.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $235.56	Professional		$131.90	$131.90	$235.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $164.87 / $200.00	Professional		$138.49	$164.87	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $169.62	Professional		$131.90	$131.90	$169.62