Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $326.00	Facility		$70.70	$70.70	$326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $72.81	Professional		$70.70	$70.70	$72.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $81.30 / $141.08	Professional		$70.70	$81.30	$141.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $120.19	Facility		$70.70	$70.70	$120.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $95.45	Professional		$70.70	$70.70	$95.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $66.69 / $70.70	Facility		$66.69	$66.69	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $117.14	Professional		$70.70	$70.70	$117.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $117.14	Professional		$70.70	$70.70	$117.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $85.24 / $102.95	Professional		$71.04	$85.24	$102.95
United Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $89.72 / $89.72	Facility		$89.72	$89.72	$89.72
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $90.92	Professional		$70.70	$70.70	$90.92