Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $52.07 / $142.27	Facility		$30.86	$52.07	$142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $30.86 / $36.64	Professional		$19.28	$30.86	$36.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $42.43 / $68.26	Facility		$34.06	$42.43	$68.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $15.43 / $33.44	Professional		$15.43	$15.43	$33.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $38.57 / $52.07	Facility		$18.28	$38.57	$52.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $50.14 / $52.07	Professional		$32.78	$50.14	$52.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $39.69 / $131.62	Facility		$25.07	$39.69	$131.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $17.67 / $53.17	Professional		$8.86	$17.67	$53.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $39.71 / $149.79	Facility		$19.00	$39.71	$149.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.44 / $25.07	Professional		$8.52	$14.44	$25.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $31.82 / $46.28	Professional		$28.93	$31.82	$46.28
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $19.29 / $50.94	Professional		$8.11	$19.29	$50.94