Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $77.88 / $232.00	Facility		$77.88	$77.88	$232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $77.88 / $129.26	Professional		$75.90	$77.88	$129.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.75 / $175.43 / $454.52	Facility		$149.75	$175.43	$454.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $95.79 / $210.29	Professional		$79.91	$95.79	$210.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $159.47 / $215.30	Facility		$119.61	$159.47	$215.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $159.47 / $341.48	Professional		$103.66	$159.47	$341.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $206.53	Facility		$99.66	$99.66	$206.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $127.32	Professional		$72.75	$72.75	$127.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $99.66 / $99.66	Professional		$72.75	$99.66	$99.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $93.02 / $121.95	Professional		$67.65	$93.02	$121.95
United Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $79.56 / $122.61	Professional		$53.04	$79.56	$122.61