Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $54.75 / $204.99	Facility		$30.67	$54.75	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $30.67 / $54.75	Professional		$24.40	$30.67	$54.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.82 / $193.56 / $220.94	Facility		$182.82	$193.56	$220.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $29.90 / $50.22	Professional		$21.71	$29.90	$50.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.38 / $43.82	Facility		$8.71	$21.38	$43.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $23.06 / $32.45	Professional		$9.39	$23.06	$32.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $162.54 / $268.55	Facility		$38.42	$162.54	$268.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $39.33 / $71.66	Professional		$26.36	$39.33	$71.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $162.54 / $268.55	Facility		$38.42	$162.54	$268.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $39.32 / $66.09	Professional		$26.36	$39.32	$66.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.24 / $51.07	Professional		$26.52	$36.24	$51.07
United Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $35.40 / $62.04	Professional		$24.03	$35.40	$62.04