Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $61.90 / $168.00	Facility		$61.90	$61.90	$168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $61.90 / $65.81	Professional		$41.63	$61.90	$65.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $126.79 / $328.49	Facility		$108.23	$126.79	$328.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $56.00 / $149.83	Professional		$50.63	$56.00	$149.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $115.26 / $155.60	Facility		$73.47	$115.26	$155.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $103.73 / $246.79	Professional		$74.92	$103.73	$246.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $112.61	Facility		$54.02	$54.02	$112.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $95.83	Professional		$39.43	$39.43	$95.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $54.02 / $54.02	Professional		$39.43	$54.02	$54.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $67.23 / $88.14	Professional		$48.89	$67.23	$88.14
United Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $97.97 / $115.26	Facility		$97.97	$97.97	$115.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $51.86 / $73.16	Professional		$30.85	$51.86	$73.16