Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $140.11 / $211.01	Facility		$51.54	$140.11	$211.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $52.57 / $94.18	Professional		$41.14	$52.57	$94.18
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 $26.50 / $36.25 / $72.19	Professional		$26.50	$36.25	$72.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $50.44 / $73.45	Facility		$50.44	$50.44	$73.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $54.40 / $61.81	Professional		$40.47	$54.40	$61.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $173.99 / $292.58	Facility		$61.51	$173.99	$292.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $61.46 / $112.80	Professional		$38.39	$61.46	$112.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $173.99 / $292.58	Facility		$80.55	$173.99	$292.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.81 / $106.98	Professional		$43.26	$61.81	$106.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $36.24 / $51.07	Professional		$27.25	$36.24	$51.07
United Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $54.88 / $101.53	Professional		$29.28	$54.88	$101.53