Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $326.62 / $446.67	Facility		$141.24	$326.62	$446.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $141.24 / $392.65	Professional		$141.24	$141.24	$392.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $237.51	Professional		$149.71	$149.71	$237.51
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 $133.88 / $133.88 / $133.88	Professional		$133.88	$133.88	$133.88
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 $136.80 / $136.80 / $150.00	Professional		$136.80	$136.80	$150.00