Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $50.05 / $50.05	Facility		$50.05	$50.05	$50.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $50.60 / $87.54	Professional		$50.05	$50.60	$87.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $117.16 / $187.46	Facility		$85.01	$117.16	$187.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $100.96 / $167.62	Professional		$84.35	$100.96	$167.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $77.33 / $143.05	Facility		$9.36	$77.33	$143.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $70.30 / $160.19	Professional		$8.67	$70.30	$160.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $138.68	Facility		$60.78	$60.78	$138.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $136.88	Professional		$51.66	$51.66	$136.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $89.35	Facility		$60.78	$60.78	$89.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $60.78 / $75.70	Professional		$51.66	$60.78	$75.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $118.67 / $171.13	Professional		$94.93	$118.67	$171.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $59.34 / $95.02	Professional		$34.81	$59.34	$95.02