Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $93.89 / $134.26	Facility		$93.89	$93.89	$134.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $70.31 / $108.23	Professional		$30.10	$70.31	$108.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.07 / $155.16	Professional		$0.02	$0.07	$155.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $187.64 / $15,808.48	Facility		$65.40	$187.64	$15,808.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $131.84 / $312.75	Professional		$70.53	$131.84	$312.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $175.95 / $292.58	Facility		$80.55	$175.95	$292.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $100.53 / $192.63	Professional		$56.15	$100.53	$192.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $175.95 / $292.58	Facility		$80.55	$175.95	$292.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $103.91 / $187.15	Professional		$58.94	$103.91	$187.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $68.38 / $151.96	Professional		$38.74	$68.38	$151.96