Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $287.00	Facility		$61.62	$61.62	$287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $61.62 / $65.51	Professional		$51.53	$61.62	$65.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.72 / $126.19 / $326.95	Facility		$107.72	$126.19	$326.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $57.29 / $149.13	Professional		$55.17	$57.29	$149.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $114.72 / $154.87	Facility		$80.09	$114.72	$154.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $103.25 / $245.64	Professional		$74.56	$103.25	$245.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $121.51	Facility		$81.37	$81.37	$121.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $95.39	Professional		$59.40	$59.40	$95.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $81.37 / $81.37	Professional		$59.40	$81.37	$81.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $66.89 / $87.69	Professional		$48.64	$66.89	$87.69
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $53.10 / $73.26	Professional		$35.36	$53.10	$73.26