Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $110.79 / $198.39	Facility		$51.53	$110.79	$198.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $51.53 / $61.19	Professional		$51.53	$51.53	$61.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $103.09	Professional		$11.94	$11.94	$103.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $83.73 / $1,507.20	Facility		$54.75	$83.73	$1,507.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $140.74 / $1,781.19	Professional		$67.29	$140.74	$1,781.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $66.31 / $367.62	Facility		$41.87	$66.31	$367.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $73.93 / $92.41	Professional		$41.87	$73.93	$92.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $66.31 / $367.62	Facility		$41.87	$66.31	$367.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $41.87 / $41.87	Professional		$41.87	$41.87	$41.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $103.89	Professional		$27.05	$38.65	$103.89