Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $161.68 / $331.96	Facility		$72.68	$161.68	$331.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $69.40 / $164.12	Professional		$39.64	$69.40	$164.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $129.00 / $145.00	Facility		$121.00	$129.00	$145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $53.21 / $96.23	Professional		$24.06	$53.21	$96.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.05 / $79.45 / $107.27	Facility		$72.05	$79.45	$107.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $86.68 / $164.50	Professional		$72.23	$86.68	$164.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $73.03 / $128.00	Facility		$65.00	$73.03	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $85.65 / $137.88	Professional		$66.23	$85.65	$137.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $182.89 / $300.97	Facility		$90.06	$182.89	$300.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $90.28 / $139.31	Professional		$66.75	$90.28	$139.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $68.30 / $96.36	Professional		$52.54	$68.30	$96.36
United Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $81.80 / $160.19	Professional		$53.82	$81.80	$160.19