Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $112.00	Facility		$39.31	$39.31	$112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $40.49	Professional		$39.31	$39.31	$40.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $45.20 / $76.54	Professional		$39.31	$45.20	$76.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $66.83	Facility		$39.31	$39.31	$66.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $53.07	Professional		$39.31	$39.31	$53.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $37.09 / $39.31	Facility		$37.09	$37.09	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $81.11	Professional		$39.31	$39.31	$81.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $969.00 / $969.00	Facility		$969.00	$969.00	$969.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $68.52	Professional		$39.31	$39.31	$68.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $54.01 / $171.52	Professional		$41.55	$54.01	$171.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $50.55	Professional		$39.31	$39.31	$50.55