Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $149.55 / $204.53	Facility		$64.67	$149.55	$204.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $179.78	Professional		$64.67	$64.67	$179.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $71.41 / $113.29	Professional		$71.41	$71.41	$113.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $72.29 / $72.29	Professional		$72.29	$72.29	$72.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $87.44	Professional		$80.84	$80.84	$87.44