Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $108.00 / $139.50	Facility		$44.11	$108.00	$139.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $122.63	Professional		$44.11	$44.11	$122.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $75.98 / $131.88	Facility		$46.85	$75.98	$131.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $43.38 / $73.13	Professional		$43.38	$43.38	$73.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $8.84 / $14.59	Facility		$8.84	$8.84	$14.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $73.73	Professional		$46.87	$46.87	$73.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $73.73	Professional		$46.87	$46.87	$73.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $54.22 / $62.90	Professional		$47.71	$54.22	$62.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $49.70	Professional		$45.95	$45.95	$49.70