Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $419.00	Facility		$89.41	$89.41	$419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $92.09	Professional		$89.41	$89.41	$92.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $102.82 / $177.03	Professional		$89.41	$102.82	$177.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $152.00	Facility		$89.41	$89.41	$152.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $120.70	Professional		$89.41	$89.41	$120.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $89.41	Facility		$84.35	$84.35	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $174.29	Professional		$89.41	$89.41	$174.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $191.25 / $191.25 / $191.25	Facility		$191.25	$191.25	$191.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $153.53	Professional		$89.41	$89.41	$153.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $110.43 / $130.35	Professional		$92.03	$110.43	$130.35
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $116.41	Professional		$89.41	$89.41	$116.41