Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $61.82 / $204.99	Facility		$34.85	$61.82	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $34.85 / $61.82	Professional		$27.99	$34.85	$61.82
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 $28.70 / $37.82 / $64.73	Professional		$28.70	$37.82	$64.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $26.48 / $49.86	Facility		$7.75	$26.48	$49.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $28.57 / $36.93	Professional		$8.36	$28.57	$36.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $173.99 / $268.55	Facility		$53.10	$173.99	$268.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $46.95 / $84.16	Professional		$31.25	$46.95	$84.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $173.99 / $268.55	Facility		$53.10	$173.99	$268.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $46.58 / $77.81	Professional		$32.01	$46.58	$77.81
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 $29.16 / $39.74 / $69.26	Professional		$29.16	$39.74	$69.26