Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $64.93 / $144.00	Facility		$64.93	$64.93	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $64.93 / $69.04	Professional		$50.89	$64.93	$69.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.52 / $132.97 / $344.54	Facility		$113.52	$132.97	$344.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $58.97 / $157.15	Professional		$54.93	$58.97	$157.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $120.89 / $163.19	Facility		$84.63	$120.89	$163.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.58 / $108.80 / $258.85	Professional		$78.58	$108.80	$258.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $122.12	Facility		$71.68	$71.68	$122.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $91.57	Professional		$52.33	$52.33	$91.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $71.68	Professional		$52.33	$71.68	$71.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $70.51 / $92.43	Professional		$51.28	$70.51	$92.43
United Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $106.31 / $125.07	Facility		$106.31	$106.31	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $54.59 / $76.73	Professional		$35.21	$54.59	$76.73