Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $157.07 / $225.00	Facility		$57.90	$157.07	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $61.52	Professional		$57.90	$57.90	$61.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $134.03 / $392.08	Facility		$90.48	$134.03	$392.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $103.26 / $158.54	Professional		$73.59	$103.26	$158.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $50.39 / $61.52	Facility		$50.39	$50.39	$61.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $50.39 / $50.39	Professional		$50.39	$50.39	$50.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $85.00	Facility		$61.52	$61.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $72.38	Professional		$61.52	$61.52	$72.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $72.38	Professional		$61.52	$61.52	$72.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $72.38	Professional		$60.32	$60.32	$72.38