Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $194.24 / $8,660.77	Facility		$80.81	$194.24	$8,660.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $93.76	Professional		$69.37	$69.37	$93.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.92 / $111.69 / $173.43	Facility		$74.92	$111.69	$173.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $79.08 / $118.20	Professional		$69.37	$79.08	$118.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $104.75	Facility		$69.37	$69.37	$104.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $93.65	Professional		$69.37	$69.37	$93.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $95.37	Facility		$63.71	$69.37	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $87.26	Professional		$69.37	$69.37	$87.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $92.85 / $111.57	Facility		$69.37	$92.85	$111.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $95.56	Professional		$69.37	$69.37	$95.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $85.23 / $103.47	Professional		$73.91	$85.23	$103.47
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $84.94	Professional		$69.37	$69.37	$84.94