Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $65.02 / $192.00	Facility		$65.02	$65.02	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $65.02 / $74.69	Professional		$56.90	$65.02	$74.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $133.16 / $345.02	Facility		$113.68	$133.16	$345.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $64.14 / $159.79	Professional		$59.06	$64.14	$159.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $121.06 / $163.43	Facility		$90.80	$121.06	$163.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $109.52 / $259.20	Professional		$79.09	$109.52	$259.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $142.61	Facility		$67.56	$67.56	$142.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $86.32	Professional		$49.33	$49.33	$86.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $67.58	Professional		$49.33	$67.56	$67.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $69.58 / $91.22	Professional		$50.60	$69.58	$91.22
United Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $59.86 / $81.28	Professional		$40.26	$59.86	$81.28