Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $54.81 / $54.81	Facility		$54.81	$54.81	$54.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $54.93 / $78.79	Professional		$54.81	$54.93	$78.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $128.30 / $205.28	Facility		$93.09	$128.30	$205.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $86.71 / $147.18	Professional		$82.28	$86.71	$147.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $78.31 / $122.85	Facility		$9.97	$78.31	$122.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $76.98 / $151.72	Professional		$8.72	$76.98	$151.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $123.71	Facility		$66.38	$66.38	$123.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $114.38	Professional		$56.42	$66.38	$114.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $84.44	Facility		$66.38	$66.38	$84.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $78.33	Professional		$56.42	$66.38	$78.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $101.90 / $146.94	Professional		$81.52	$101.90	$146.94
United Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $54.62 / $90.95	Professional		$35.29	$54.62	$90.95