Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $172.00	Facility		$152.00	$152.00	$172.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $161.50	Professional		$152.00	$152.00	$161.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $74.16 / $112.86	Professional		$65.92	$74.16	$112.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.99 / $88.99 / $151.28	Facility		$88.99	$88.99	$151.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $88.99 / $88.99	Professional		$65.92	$88.99	$88.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $190.00	Professional		$161.50	$161.50	$190.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $79.10 / $95.58	Professional		$65.92	$79.10	$95.58
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $233.02	Professional		$167.51	$167.51	$233.02