Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $75.00 / $221.33	Facility		$37.19	$75.00	$221.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $60.00	Professional		$48.00	$48.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $66.00 / $106.18	Facility		$52.98	$66.00	$106.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $24.00 / $47.89	Professional		$13.92	$24.00	$47.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $60.00 / $81.00	Facility		$27.36	$60.00	$81.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $78.00 / $81.00	Professional		$51.00	$78.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $61.74 / $204.75	Facility		$29.54	$61.74	$204.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $27.41 / $78.92	Professional		$10.72	$27.41	$78.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $61.78 / $232.10	Facility		$29.54	$61.78	$232.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.49 / $39.00	Professional		$10.72	$22.49	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $49.50 / $72.00	Professional		$45.00	$49.50	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $25.20 / $78.59	Professional		$10.27	$25.20	$78.59