Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $89.58 / $235.60	Facility		$29.36	$89.58	$235.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $31.06 / $56.05	Professional		$25.42	$31.06	$56.05
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 $21.40 / $29.57 / $50.00	Professional		$21.40	$29.57	$50.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $21.38 / $41.95	Facility		$7.43	$21.38	$41.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $23.06 / $31.06	Professional		$8.01	$23.06	$31.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $162.54 / $268.55	Facility		$37.15	$162.54	$268.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $37.93 / $68.63	Professional		$25.60	$37.93	$68.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $162.54 / $286.02	Facility		$37.15	$162.54	$286.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $37.40 / $63.26	Professional		$25.60	$37.40	$63.26
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 $23.62 / $32.72 / $57.84	Professional		$23.62	$32.72	$57.84