Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $143.22 / $219.78	Facility		$66.00	$143.22	$219.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $83.53	Professional		$66.00	$66.00	$83.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $113.19 / $188.10	Facility		$71.28	$113.19	$188.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $73.92 / $111.27	Professional		$66.00	$73.92	$111.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $99.18	Facility		$66.00	$66.00	$99.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $89.10	Professional		$66.00	$66.00	$89.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $66.00 / $85.00	Facility		$62.26	$66.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $84.06	Professional		$66.00	$66.00	$84.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $66.00 / $92.48	Facility		$62.26	$66.00	$92.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $93.39	Professional		$66.00	$66.00	$93.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $75.07 / $94.14	Professional		$65.28	$75.07	$94.14
United Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $66.00 / $80.81	Professional		$65.87	$66.00	$80.81