Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.05 / $130.05 / $130.05	Facility		$130.05	$130.05	$130.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $33.78 / $60.96	Professional		$10.07	$33.78	$60.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $20.00 / $51.08	Professional		$16.89	$20.00	$51.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $48.55 / $65.44	Facility		$35.89	$48.55	$65.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $57.00 / $101.33	Professional		$54.89	$57.00	$101.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $88.91 / $88.91	Facility		$88.91	$88.91	$88.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $19.30 / $73.62	Professional		$6.85	$19.30	$73.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $88.91 / $88.91	Facility		$88.91	$88.91	$88.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $19.30 / $73.62	Professional		$6.85	$19.30	$73.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $36.42 / $41.17	Professional		$31.67	$36.42	$41.17
United Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $34.61 / $63.33	Professional		$14.39	$34.61	$63.33