Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $107.10	Facility		$91.54	$91.54	$107.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $94.29	Professional		$91.54	$91.54	$94.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $105.27 / $177.73	Professional		$91.54	$105.27	$177.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $138.22	Facility		$91.54	$91.54	$138.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $123.58	Professional		$91.54	$91.54	$123.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $86.36 / $91.54	Facility		$86.36	$86.36	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $129.22	Professional		$91.54	$91.54	$129.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Facility		$136.00	$136.00	$136.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $129.54	Professional		$91.54	$91.54	$129.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $88.03 / $116.25	Professional		$68.56	$88.03	$116.25
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $117.72	Professional		$91.54	$91.54	$117.72