Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $119.70 / $183.68	Facility		$55.16	$119.70	$183.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.71 / $73.53	Professional		$55.16	$55.71	$73.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $129.07 / $358.54	Facility		$82.74	$129.07	$358.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $91.01	Professional		$55.16	$55.16	$91.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $55.16 / $79.98	Facility		$44.95	$55.16	$79.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $55.16 / $57.92	Professional		$38.61	$55.16	$57.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $54.58 / $55.16	Facility		$52.04	$54.58	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $55.16 / $68.25	Professional		$52.99	$55.16	$68.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $54.58 / $55.16	Facility		$54.58	$54.58	$55.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $55.16 / $64.20	Professional		$52.99	$55.16	$64.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $60.67 / $77.70	Professional		$53.59	$60.67	$77.70
United Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $65.38 / $65.38	Facility		$65.38	$65.38	$65.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $59.08	Professional		$22.06	$55.16	$59.08