Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $87.21 / $162.19	Facility		$42.13	$87.21	$162.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $20.57 / $51.43	Professional		$17.48	$20.57	$51.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $74.56 / $896.01	Facility		$51.43	$74.56	$896.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $69.43 / $1,423.07	Professional		$43.72	$69.43	$1,423.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $35.32 / $297.80	Facility		$25.32	$35.32	$297.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $59.10 / $73.88	Professional		$42.13	$59.10	$73.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $33.43 / $297.80	Facility		$25.32	$33.43	$297.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $50.04	Professional		$42.13	$42.13	$50.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $42.42 / $61.71	Professional		$38.57	$42.42	$61.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $23.18 / $61.72	Professional		$16.23	$23.18	$61.72