Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $171.50 / $15,710.27	Facility		$75.93	$171.50	$15,710.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $101.22	Professional		$75.22	$75.93	$101.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $121.10 / $188.05	Facility		$81.23	$121.10	$188.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $85.75 / $128.78	Professional		$75.22	$85.75	$128.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.93 / $112.83	Facility		$75.22	$75.93	$112.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $120.35	Professional		$75.22	$75.93	$120.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $75.22 / $98.98	Facility		$70.95	$75.22	$98.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $106.44	Professional		$75.22	$75.22	$106.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $107.45 / $211.39	Facility		$76.73	$107.45	$211.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $112.74	Professional		$75.22	$75.22	$112.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $87.31 / $109.06	Professional		$75.93	$87.31	$109.06
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $93.22	Professional		$75.22	$75.22	$93.22