Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $133.33 / $204.60	Facility		$61.44	$133.33	$204.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $84.37	Professional		$61.44	$62.05	$84.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $98.92 / $153.60	Facility		$66.36	$98.92	$153.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $70.04 / $104.69	Professional		$61.44	$70.04	$104.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $92.38	Facility		$61.44	$61.44	$92.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $82.94	Professional		$61.44	$61.44	$82.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $79.48	Facility		$57.96	$61.44	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $86.94	Professional		$61.44	$61.44	$86.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $90.81 / $211.35	Facility		$63.06	$90.81	$211.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $93.50	Professional		$61.44	$61.44	$93.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $72.35 / $89.08	Professional		$62.92	$72.35	$89.08
United Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $61.44 / $76.14	Professional		$61.32	$61.44	$76.14