Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $66.34 / $142.27	Facility		$30.86	$66.34	$142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $24.30 / $35.49	Professional		$13.38	$24.30	$35.49
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 / $38.57	Professional		$15.43	$15.43	$38.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $38.57 / $52.07	Facility		$23.22	$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 / $39.71 / $149.79	Facility		$25.07	$39.71	$149.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $18.35 / $55.24	Professional		$17.50	$18.35	$55.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $39.71 / $149.79	Facility		$25.07	$39.71	$149.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $18.32 / $32.11	Professional		$17.50	$18.32	$32.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $36.16 / $47.73	Professional		$28.93	$36.16	$47.73
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $50.53	Professional		$16.20	$23.14	$50.53