Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $72.88 / $72.88	Facility		$72.88	$72.88	$72.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $72.88 / $104.28	Professional		$72.61	$72.88	$104.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $170.60 / $272.95	Facility		$123.79	$170.60	$272.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $86.84 / $173.50	Professional		$86.80	$86.84	$173.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $102.36 / $142.76	Facility		$12.56	$102.36	$142.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $92.79 / $176.29	Professional		$11.60	$92.79	$176.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $162.59	Facility		$57.76	$57.76	$162.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $154.50	Professional		$49.10	$57.76	$154.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $57.76 / $91.40	Professional		$57.76	$57.76	$91.40
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 $45.23 / $67.84 / $100.16	Professional		$45.23	$67.84	$100.16