Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $65.72 / $220.00	Facility		$65.72	$65.72	$220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $65.72 / $85.02	Professional		$60.56	$65.72	$85.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $134.60 / $348.73	Facility		$114.90	$134.60	$348.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $68.81 / $159.06	Professional		$59.00	$68.81	$159.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $122.36 / $168.44	Facility		$91.77	$122.36	$168.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $114.54 / $262.00	Professional		$79.53	$114.54	$262.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $152.61	Facility		$73.43	$73.43	$152.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $73.43	Professional		$53.60	$53.60	$73.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.42 / $73.43	Professional		$53.60	$73.42	$73.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $71.36 / $93.56	Professional		$51.90	$71.36	$93.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $59.14 / $88.32	Professional		$40.70	$59.14	$88.32