Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $106.88 / $191.38	Facility		$49.71	$106.88	$191.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $49.71 / $59.03	Professional		$49.71	$49.71	$59.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $31.92 / $62.14	Professional		$27.13	$31.92	$62.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $80.78 / $1,454.08	Facility		$52.82	$80.78	$1,454.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $135.79 / $1,718.63	Professional		$64.93	$135.79	$1,718.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $63.98 / $354.62	Facility		$40.39	$63.98	$354.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $71.45 / $89.31	Professional		$40.39	$71.45	$89.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $63.98 / $354.62	Facility		$40.39	$63.98	$354.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $40.39	Professional		$40.39	$40.39	$40.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $74.56	Facility		$74.56	$74.56	$74.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $81.40	Professional		$26.10	$37.28	$81.40