Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.64 / $75.64 / $75.64	Facility		$75.64	$75.64	$75.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $75.64 / $107.30	Professional		$74.09	$75.64	$107.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $177.05 / $283.27	Facility		$128.47	$177.05	$283.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $86.84 / $180.06	Professional		$86.80	$86.84	$180.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $105.94 / $142.76	Facility		$13.01	$105.94	$142.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $93.39 / $176.29	Professional		$12.04	$93.39	$176.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $168.44	Facility		$96.42	$96.42	$168.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $154.50	Professional		$81.96	$96.42	$154.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $103.92	Facility		$96.42	$96.42	$103.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $102.06 / $147.18	Professional		$81.64	$102.06	$147.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $69.45 / $100.30	Professional		$46.49	$69.45	$100.30