Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $150.60 / $260.72	Facility		$70.30	$150.60	$260.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $70.30 / $87.88	Professional		$70.30	$70.30	$87.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $96.67 / $155.52	Facility		$77.59	$96.67	$155.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $89.10	Professional		$35.15	$35.15	$89.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $87.88 / $118.64	Facility		$58.58	$87.88	$118.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $114.24 / $118.64	Professional		$74.70	$114.24	$118.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $90.48 / $299.88	Facility		$57.12	$90.48	$299.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $57.12 / $126.48	Professional		$40.29	$57.12	$126.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $90.48 / $340.07	Facility		$43.27	$90.48	$340.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $45.87 / $86.49	Professional		$40.29	$45.87	$86.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $72.50 / $105.45	Professional		$65.91	$72.50	$105.45
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $52.73 / $105.46	Professional		$36.90	$52.73	$105.46