Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $190.35 / $280.77	Facility		$72.93	$190.35	$280.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $72.93 / $98.64	Professional		$48.32	$72.93	$98.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $100.28 / $161.33	Facility		$80.48	$100.28	$161.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $45.02 / $98.45	Professional		$45.02	$45.02	$98.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $91.16 / $123.07	Facility		$60.81	$91.16	$123.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $118.51 / $123.07	Professional		$77.48	$118.51	$123.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $93.85 / $345.66	Facility		$59.25	$93.85	$345.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $73.16 / $132.69	Professional		$46.40	$73.16	$132.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $93.85 / $352.23	Facility		$58.12	$93.85	$352.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $59.25 / $119.34	Professional		$46.40	$59.25	$119.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $75.20 / $109.39	Professional		$68.37	$75.20	$109.39
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $54.70 / $127.36	Professional		$38.29	$54.70	$127.36