Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $58.41 / $58.41	Facility		$58.41	$58.41	$58.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $58.41 / $88.54	Professional		$56.82	$58.41	$88.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $136.72 / $218.76	Facility		$99.21	$136.72	$218.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $85.02 / $157.26	Professional		$70.84	$85.02	$157.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $77.12 / $116.46	Facility		$9.85	$77.12	$116.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $73.84 / $135.12	Professional		$9.30	$73.84	$135.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $130.91	Facility		$73.04	$73.04	$130.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $132.38	Professional		$62.08	$73.04	$132.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Professional		$73.04	$73.04	$95.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.60 / $83.26 / $120.06	Professional		$66.60	$83.26	$120.06
United Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $43.76 / $81.98	Facility		$5.97	$43.76	$81.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $54.63 / $79.36	Professional		$36.42	$54.63	$79.36