Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $44.37 / $44.37	Facility		$44.37	$44.37	$44.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $44.40 / $81.40	Professional		$44.37	$44.40	$81.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $103.86 / $166.18	Facility		$75.36	$103.86	$166.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $65.01 / $141.25	Professional		$64.65	$65.01	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $62.32 / $92.10	Facility		$7.85	$62.32	$92.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $58.68 / $113.71	Professional		$7.06	$58.68	$113.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $96.80	Facility		$54.52	$54.52	$96.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $54.52 / $96.38	Professional		$46.34	$54.52	$96.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $58.28	Facility		$54.52	$54.52	$58.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $54.52 / $54.52	Professional		$54.52	$54.52	$54.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $76.40 / $110.17	Professional		$61.12	$76.40	$110.17
United Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $42.76 / $68.19	Professional		$27.97	$42.76	$68.19