Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $69.16 / $163.00	Facility		$69.16	$69.16	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $69.16 / $96.14	Professional		$63.73	$69.16	$96.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.91 / $141.63 / $366.97	Facility		$120.91	$141.63	$366.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $75.37 / $169.78	Professional		$62.81	$75.37	$169.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.57 / $128.76 / $180.26	Facility		$96.57	$128.76	$180.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $128.76 / $275.70	Professional		$83.69	$128.76	$275.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $165.98	Facility		$80.45	$80.45	$165.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $102.77	Professional		$58.73	$58.73	$102.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $80.45	Professional		$58.73	$80.45	$80.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $75.10 / $98.46	Professional		$54.62	$75.10	$98.46
United Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $64.23 / $93.31	Professional		$42.82	$64.23	$93.31