Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $69.03 / $69.03	Facility		$69.03	$69.03	$69.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $69.03 / $91.24	Professional		$66.14	$69.03	$91.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $160.65 / $257.04	Facility		$116.57	$160.65	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $78.20 / $163.37	Professional		$78.18	$78.20	$163.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $96.36 / $128.52	Facility		$12.08	$96.36	$128.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $83.53 / $206.33	Professional		$10.92	$83.53	$206.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $150.61	Facility		$78.94	$78.94	$150.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $186.09	Professional		$67.09	$67.09	$186.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $89.48	Facility		$78.94	$78.94	$89.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $78.94 / $78.94	Professional		$67.09	$78.94	$78.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $91.89 / $132.51	Professional		$73.51	$91.89	$132.51
United Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $62.49 / $83.78	Professional		$41.66	$62.49	$83.78