Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $800.00	Facility		$80.04	$80.04	$800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $82.44	Professional		$80.04	$80.04	$82.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $92.84 / $165.74	Professional		$80.04	$92.84	$165.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $136.07	Facility		$80.04	$80.04	$136.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $108.05	Professional		$80.04	$80.04	$108.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $75.51 / $80.04	Facility		$75.51	$75.51	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $247.35	Professional		$80.04	$80.04	$247.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $624.34 / $624.34 / $624.34	Facility		$624.34	$624.34	$624.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $131.99	Professional		$80.04	$80.04	$131.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $88.04	Professional		$40.00	$50.00	$88.04
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $102.93	Professional		$80.04	$80.04	$102.93