Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $62.95 / $326.00	Facility		$62.95	$62.95	$326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $62.95 / $80.98	Professional		$58.01	$62.95	$80.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $128.91 / $334.02	Facility		$110.05	$128.91	$334.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $67.89 / $154.59	Professional		$57.17	$67.89	$154.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $117.20 / $164.08	Facility		$87.90	$117.20	$164.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $117.20 / $250.95	Professional		$82.04	$117.20	$250.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $154.25	Facility		$75.81	$75.81	$154.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $96.86	Professional		$55.35	$55.35	$96.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $75.81	Professional		$55.35	$75.81	$75.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $68.35 / $89.61	Professional		$49.71	$68.35	$89.61
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $57.84 / $84.94	Professional		$38.97	$57.84	$84.94