Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $167.82 / $247.56	Facility		$64.30	$167.82	$247.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $64.30 / $80.37	Professional		$42.60	$64.30	$80.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $88.41 / $142.22	Facility		$70.97	$88.41	$142.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $86.79	Professional		$13.23	$13.23	$86.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $80.37 / $108.50	Facility		$53.61	$80.37	$108.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $104.48 / $108.50	Professional		$68.31	$104.48	$108.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $82.75 / $304.76	Facility		$52.24	$82.75	$304.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $52.24 / $117.00	Professional		$40.78	$52.24	$117.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $82.75 / $310.38	Facility		$51.20	$82.75	$310.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $50.15 / $105.19	Professional		$40.78	$50.15	$105.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $66.29 / $96.43	Professional		$60.27	$66.29	$96.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $48.22 / $117.10	Professional		$33.76	$48.22	$117.10