Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $77.09 / $111.77	Professional		$69.69	$77.09	$111.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $180.49 / $288.77	Facility		$130.96	$180.49	$288.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $111.61 / $245.46	Professional		$107.57	$111.61	$245.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $106.73 / $158.15	Facility		$13.00	$106.73	$158.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $100.80 / $195.31	Professional		$11.70	$100.80	$195.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $159.25	Facility		$88.16	$88.16	$159.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $157.13	Professional		$74.94	$88.16	$157.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $104.45	Facility		$88.16	$88.16	$104.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Professional		$88.16	$88.16	$88.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $131.18 / $189.17	Professional		$104.94	$131.18	$189.17
United Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $74.31 / $111.61	Professional		$48.44	$74.31	$111.61