Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $164.73 / $10,306.17	Facility		$75.91	$164.73	$10,306.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.65 / $203.39	Professional		$75.90	$76.65	$203.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $132.58 / $217.86	Facility		$81.98	$132.58	$217.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $127.98	Professional		$75.91	$75.91	$127.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $75.91 / $110.07	Facility		$73.16	$75.91	$110.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $75.91 / $102.48	Professional		$73.16	$75.91	$102.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $71.61 / $75.91	Facility		$71.61	$71.61	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $117.40	Professional		$75.91	$75.91	$117.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $97.63 / $175.38	Facility		$31.32	$97.63	$175.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $117.40	Professional		$75.91	$75.91	$117.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.71 / $94.88 / $106.40	Professional		$80.71	$94.88	$106.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $85.21	Professional		$75.91	$75.91	$85.21