Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $102.03 / $955.30	Facility		$36.70	$102.03	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $38.75 / $77.80	Professional		$36.70	$38.75	$77.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $47.33 / $85.52	Professional		$42.09	$47.33	$85.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $36.68 / $53.41	Facility		$36.68	$36.68	$53.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $39.56 / $46.42	Professional		$39.56	$39.56	$46.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.48 / $1,261.30 / $1,325.32	Facility		$757.48	$1,261.30	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $56.94 / $95.57	Professional		$35.22	$56.94	$95.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $757.48 / $1,261.30 / $1,325.32	Facility		$757.48	$1,261.30	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $56.37 / $95.57	Professional		$36.15	$56.37	$95.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $37.84 / $52.03	Professional		$29.62	$37.84	$52.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $44.80 / $80.78	Professional		$33.63	$44.80	$80.78