Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $52.01 / $228.00	Facility		$52.01	$52.01	$228.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $53.42 / $91.69	Professional		$52.01	$53.42	$91.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $107.15 / $277.62	Facility		$91.47	$107.15	$277.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $84.10 / $156.46	Professional		$78.41	$84.10	$156.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $97.41 / $132.91	Facility		$73.06	$97.41	$132.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $95.70 / $208.57	Professional		$68.19	$95.70	$208.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $133.83	Facility		$76.68	$76.68	$133.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $97.96	Professional		$55.98	$55.98	$97.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $76.68	Professional		$55.98	$76.68	$76.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $99.00 / $129.78	Professional		$72.00	$99.00	$129.78
United Facility/Professional Facility Modifier Low / Median / High Price $45.64 / $71.01 / $97.41	Facility		$45.64	$71.01	$97.41
United Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $75.48 / $107.82	Professional		$48.52	$75.48	$107.82