Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $63.84 / $91.37	Professional		$56.84	$63.84	$91.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $82.72 / $128.19	Professional		$63.07	$82.72	$128.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $68.58 / $96.01	Facility		$51.44	$68.58	$96.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $75.78 / $85.73	Professional		$75.78	$75.78	$85.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $90.83 / $147.36	Professional		$68.48	$90.83	$147.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $92.58 / $144.46	Professional		$69.65	$92.58	$144.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $115.77 / $119.20	Professional		$100.00	$115.77	$119.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $87.02 / $139.94	Professional		$63.23	$87.02	$139.94