Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $184.17 / $261.97	Facility		$69.56	$184.17	$261.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $69.56 / $83.48	Professional		$46.09	$69.56	$83.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.79 / $95.66 / $153.88	Facility		$76.79	$95.66	$153.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $42.94 / $93.91	Professional		$42.94	$42.94	$93.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $86.96 / $117.40	Facility		$58.00	$86.96	$117.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $113.05 / $117.40	Professional		$73.92	$113.05	$117.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $89.53 / $324.70	Facility		$56.52	$89.53	$324.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $69.78 / $126.57	Professional		$44.25	$69.78	$126.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $89.53 / $329.70	Facility		$56.52	$89.53	$329.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $56.52 / $114.71	Professional		$44.25	$56.52	$114.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $71.74 / $104.35	Professional		$65.22	$71.74	$104.35
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $121.46	Professional		$36.52	$52.18	$121.46