Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $73.56 / $173.00	Facility		$73.56	$73.56	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $73.56 / $86.03	Professional		$58.73	$73.56	$86.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $165.70 / $429.32	Facility		$141.44	$165.70	$429.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $73.48 / $195.83	Professional		$70.54	$73.48	$195.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $150.63 / $203.36	Facility		$99.83	$150.63	$203.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $135.58 / $322.55	Professional		$97.92	$135.58	$322.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $154.79	Facility		$97.44	$97.44	$154.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $124.48	Professional		$71.13	$71.13	$124.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $97.44	Professional		$71.13	$97.44	$97.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $87.85 / $115.18	Professional		$63.89	$87.85	$115.18
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $133.11 / $156.60	Facility		$133.11	$133.11	$156.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $75.15 / $95.62	Professional		$48.83	$75.15	$95.62