Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $750.00	Facility		$65.88	$65.88	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $67.86	Professional		$65.88	$65.88	$67.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $76.42 / $136.41	Professional		$65.88	$76.42	$136.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $112.00	Facility		$65.88	$65.88	$112.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $88.94	Professional		$65.88	$65.88	$88.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $65.88	Facility		$62.15	$62.15	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $114.23	Professional		$65.88	$65.88	$114.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $109.40	Professional		$65.88	$65.88	$109.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $72.98	Professional		$40.00	$50.00	$72.98
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $86.30	Professional		$65.88	$65.88	$86.30