Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $160.44 / $246.22	Facility		$73.94	$160.44	$246.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.94 / $94.14	Professional		$73.55	$73.94	$94.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $129.12 / $212.18	Facility		$79.84	$129.12	$212.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $82.81 / $124.66	Professional		$73.94	$82.81	$124.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $111.34	Facility		$73.94	$73.94	$111.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $99.82	Professional		$73.94	$73.94	$99.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $73.94 / $85.00	Facility		$69.75	$73.94	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $91.06	Professional		$73.94	$73.94	$91.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $85.00 / $109.07	Facility		$70.37	$85.00	$109.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $104.63	Professional		$73.94	$73.94	$104.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $84.45 / $102.05	Professional		$73.55	$84.45	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $87.99	Professional		$73.94	$73.94	$87.99