Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $157.11 / $241.09	Facility		$57.92	$157.11	$241.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $59.37 / $77.20	Professional		$57.92	$59.37	$77.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $111.71 / $179.81	Facility		$65.17	$111.71	$179.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $72.40 / $107.83	Professional		$63.96	$72.40	$107.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $182.70 / $292.32	Facility		$175.88	$182.70	$292.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $182.70 / $182.70	Professional		$182.70	$182.70	$182.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $89.61	Facility		$61.54	$61.54	$89.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.40	Professional		$61.54	$61.54	$72.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $89.61	Facility		$61.54	$61.54	$89.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.40	Professional		$61.54	$61.54	$72.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $73.55 / $92.23	Professional		$63.96	$73.55	$92.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $72.40	Professional		$60.34	$60.34	$72.40