Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $139.10 / $33,380.60	Facility		$63.39	$139.10	$33,380.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $85.28	Professional		$62.10	$62.71	$85.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $106.50 / $176.99	Facility		$67.06	$106.50	$176.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $70.91 / $104.70	Professional		$62.10	$70.91	$104.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $102.47	Facility		$62.10	$62.10	$102.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $83.84	Professional		$62.10	$62.10	$83.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.10 / $78.84	Facility		$58.58	$62.10	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $87.87	Professional		$62.10	$62.10	$87.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $82.41 / $155.00	Facility		$63.88	$82.41	$155.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $92.77	Professional		$62.10	$62.10	$92.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $72.43 / $90.04	Professional		$62.99	$72.43	$90.04
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.20 / $78.00	Professional		$62.10	$65.20	$78.00