Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $112.20 / $178.61	Facility		$56.10	$112.20	$178.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $57.78 / $130.94	Professional		$56.10	$57.78	$130.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $90.32 / $140.25	Facility		$60.59	$90.32	$140.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $97.14	Professional		$56.10	$56.10	$97.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $57.43 / $84.71	Facility		$56.10	$57.43	$84.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $57.43 / $75.73	Professional		$56.10	$57.43	$75.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $52.93 / $56.10	Facility		$52.93	$52.93	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $89.82	Professional		$56.10	$56.10	$89.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $54.83 / $56.10	Facility		$52.93	$54.83	$56.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $89.82	Professional		$56.10	$56.10	$89.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $71.78 / $81.34	Professional		$61.71	$71.78	$81.34
United Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.06 / $56.10	Facility		$56.06	$56.06	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $73.04	Professional		$56.10	$56.10	$73.04