Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $90.67 / $162.35	Facility		$42.17	$90.67	$162.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $42.17 / $42.17	Professional		$35.84	$42.17	$42.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $40.47	Professional		$4.97	$4.97	$40.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $68.52 / $1,233.42	Facility		$44.80	$68.52	$1,233.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $115.27 / $1,458.92	Professional		$55.11	$115.27	$1,458.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $54.27 / $300.80	Facility		$34.26	$54.27	$300.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $60.71 / $75.89	Professional		$34.26	$60.71	$75.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $54.27 / $300.80	Facility		$34.26	$54.27	$300.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Professional		$34.26	$34.26	$34.26
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 Professional Modifier Low / Median / High Price $22.14 / $31.63 / $63.25	Professional		$22.14	$31.63	$63.25