Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $184.00 / $226.18	Facility		$71.52	$184.00	$226.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $198.83	Professional		$71.52	$71.52	$198.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.75 / $174.33 / $484.25	Facility		$111.75	$174.33	$484.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $79.41 / $130.37	Professional		$74.50	$79.41	$130.37
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $119.56	Professional		$75.98	$75.98	$119.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $119.56	Professional		$75.98	$75.98	$119.56
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 $74.50 / $74.50 / $80.58	Professional		$74.50	$74.50	$80.58