Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $127.90 / $196.27	Facility		$47.15	$127.90	$196.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.74 / $60.35	Professional		$47.15	$47.74	$60.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $78.11 / $130.18	Facility		$0.03	$78.11	$130.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $59.46 / $86.07	Professional		$52.07	$59.46	$86.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $70.29 / $119.49	Facility		$70.29	$70.29	$119.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $70.29 / $70.29	Professional		$52.07	$70.29	$70.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $70.00	Facility		$52.07	$52.07	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $62.90	Professional		$52.07	$52.07	$62.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $73.68	Professional		$52.07	$52.07	$73.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $59.88 / $75.09	Professional		$52.07	$59.88	$75.09
United Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $58.94 / $69.55	Professional		$58.83	$58.94	$69.55