Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $902.00	Facility		$318.00	$318.00	$902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $327.54	Professional		$318.00	$318.00	$327.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $365.70 / $629.64	Professional		$318.00	$365.70	$629.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $540.60	Facility		$318.00	$318.00	$540.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $429.30	Professional		$318.00	$318.00	$429.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $318.00	Facility		$300.00	$300.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $524.36	Professional		$318.00	$318.00	$524.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,232.50 / $1,232.50 / $1,232.50	Facility		$1,232.50	$1,232.50	$1,232.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $524.36	Professional		$318.00	$318.00	$524.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $349.80	Professional		$40.00	$50.00	$349.80
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $408.95	Professional		$318.00	$318.00	$408.95