Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $121.67 / $11,433.76	Facility		$56.07	$121.67	$11,433.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $57.75 / $2,989.08	Professional		$56.07	$57.75	$2,989.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $90.27 / $140.18	Facility		$60.56	$90.27	$140.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $94.53	Professional		$56.07	$56.07	$94.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $56.07 / $84.12	Facility		$56.01	$56.07	$84.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $56.07 / $75.69	Professional		$56.01	$56.07	$75.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $52.89 / $56.07	Facility		$52.89	$52.89	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $81.99	Professional		$56.07	$56.07	$81.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $103.80 / $162.78	Facility		$42.94	$103.80	$162.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $110.90	Professional		$56.07	$56.07	$110.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $70.08 / $81.21	Professional		$61.61	$70.08	$81.21
United Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Facility		$67.06	$67.06	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $73.00	Professional		$56.07	$56.07	$73.00