Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $133.53 / $182.24	Facility		$48.68	$133.53	$182.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $75.45 / $159.94	Professional		$37.60	$75.45	$159.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.28 / $145.35 / $165.90	Facility		$137.28	$145.35	$165.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $58.75 / $119.74	Professional		$44.91	$58.75	$119.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $49.85 / $86.93	Facility		$30.26	$49.85	$86.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $37.10 / $37.10	Facility		$34.68	$37.10	$37.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $90.54 / $146.69	Professional		$54.93	$90.54	$146.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $37.10 / $841.35	Facility		$34.68	$37.10	$841.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $91.87 / $139.60	Professional		$53.08	$91.87	$139.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $49.88 / $137.29	Professional		$30.24	$49.88	$137.29
United Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $79.76 / $130.15	Professional		$46.01	$79.76	$130.15