Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $61.57 / $61.57	Facility		$61.57	$61.57	$61.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $61.57 / $86.45	Professional		$58.62	$61.57	$86.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $144.13 / $230.62	Facility		$104.59	$144.13	$230.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $80.83 / $149.90	Professional		$80.80	$80.83	$149.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $85.46 / $132.88	Facility		$9.98	$85.46	$132.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $80.72 / $142.44	Professional		$9.80	$80.72	$142.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $132.76	Facility		$73.97	$73.97	$132.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $132.38	Professional		$62.87	$73.97	$132.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $97.09	Facility		$73.97	$73.97	$97.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $73.97 / $97.09	Professional		$73.97	$73.97	$97.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $95.00 / $136.99	Professional		$76.00	$95.00	$136.99
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $59.92 / $80.84	Professional		$39.07	$59.92	$80.84