Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $83.71	Facility		$71.55	$71.55	$83.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $73.70	Professional		$71.55	$71.55	$73.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $82.28 / $138.91	Professional		$71.55	$82.28	$138.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $108.04	Facility		$71.55	$71.55	$108.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $96.59	Professional		$71.55	$71.55	$96.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $71.55	Facility		$67.50	$67.50	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $101.25	Professional		$71.55	$71.55	$101.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $88.55 / $88.55	Facility		$88.55	$88.55	$88.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $104.18	Professional		$71.55	$71.55	$104.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $62.04 / $93.01	Professional		$41.36	$62.04	$93.01
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $88.79	Professional		$71.55	$71.55	$88.79