Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $84.56 / $162.78	Facility		$42.28	$84.56	$162.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $16.91 / $42.28	Professional		$14.37	$16.91	$42.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $61.31 / $738.23	Facility		$42.28	$61.31	$738.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $57.08 / $1,172.48	Professional		$35.94	$57.08	$1,172.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $29.04 / $244.80	Facility		$20.82	$29.04	$244.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $27.48 / $244.80	Facility		$20.82	$27.48	$244.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $50.22	Professional		$42.28	$42.28	$50.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $34.88 / $50.73	Professional		$31.71	$34.88	$50.73
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $23.18 / $51.03	Professional		$16.23	$23.18	$51.03