Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $93.72 / $143.82	Facility		$43.19	$93.72	$143.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.72 / $113.66	Professional		$43.19	$43.72	$113.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $69.54 / $123.09	Facility		$46.65	$69.54	$123.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $82.06	Professional		$43.19	$43.19	$82.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $73.42	Facility		$43.19	$43.19	$73.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $58.31	Professional		$43.19	$43.19	$58.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $43.19	Facility		$40.75	$40.75	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $68.88	Professional		$43.19	$43.19	$68.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $43.19 / $43.19	Facility		$40.75	$43.19	$43.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $68.88	Professional		$43.19	$43.19	$68.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $54.11 / $62.62	Professional		$47.50	$54.11	$62.62
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $46.71	Professional		$43.19	$43.19	$46.71