Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $95.97 / $199.01	Facility		$66.56	$95.97	$199.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $86.53 / $199.01	Professional		$66.56	$86.53	$199.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $147.00 / $408.33	Facility		$94.23	$147.00	$408.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $64.08 / $111.48	Professional		$64.08	$64.08	$111.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $64.80	Facility		$13.50	$13.50	$64.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.50 / $63.57	Professional		$10.00	$13.50	$63.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Facility		$70.36	$70.36	$70.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $107.63	Professional		$70.36	$70.36	$107.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $51.38 / $138.54	Facility		$14.97	$51.38	$138.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $107.63	Professional		$70.36	$70.36	$107.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $76.44 / $84.53	Professional		$60.52	$76.44	$84.53