Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $61.92 / $403.00	Facility		$61.92	$61.92	$403.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $61.92 / $85.29	Professional		$60.35	$61.92	$85.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $139.47 / $361.38	Facility		$119.07	$139.47	$361.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $71.15 / $209.60	Professional		$63.53	$71.15	$209.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $126.80 / $171.18	Facility		$95.10	$126.80	$171.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $114.76 / $271.50	Professional		$82.88	$114.76	$271.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $149.41	Facility		$100.70	$100.70	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $105.43	Professional		$85.60	$85.60	$105.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $100.70 / $100.70	Professional		$85.60	$100.70	$100.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.46 / $88.64 / $116.21	Professional		$64.46	$88.64	$116.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $63.26 / $87.11	Professional		$42.17	$63.26	$87.11