Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $176.00	Facility		$69.73	$69.73	$176.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $69.73 / $74.15	Professional		$46.90	$69.73	$74.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $142.82 / $370.04	Facility		$121.92	$142.82	$370.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $63.34 / $168.79	Professional		$57.72	$63.34	$168.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $129.84 / $175.28	Facility		$84.40	$129.84	$175.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $116.86 / $278.01	Professional		$84.40	$116.86	$278.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $147.47	Facility		$83.99	$83.99	$147.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $107.96	Professional		$61.31	$61.31	$107.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $83.99	Facility		$83.99	$83.99	$83.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $83.99 / $83.99	Professional		$61.31	$83.99	$83.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $75.73 / $99.28	Professional		$55.08	$75.73	$99.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $62.75 / $82.41	Professional		$40.49	$62.75	$82.41