Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $228.00	Facility		$53.00	$53.00	$228.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $54.59	Professional		$53.00	$53.00	$54.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $63.24 / $109.75	Professional		$53.00	$63.24	$109.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $90.10	Facility		$53.00	$53.00	$90.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $71.55	Professional		$53.00	$53.00	$71.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $53.00	Facility		$50.00	$50.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $87.39	Professional		$53.00	$53.00	$87.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $969.00 / $969.00	Facility		$969.00	$969.00	$969.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $87.39	Professional		$53.00	$53.00	$87.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $76.97 / $100.06	Professional		$58.30	$76.97	$100.06
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $69.43	Professional		$53.00	$53.00	$69.43