Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $165.75 / $241.05	Facility		$62.61	$165.75	$241.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $62.61 / $78.26	Professional		$41.47	$62.61	$78.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $86.09 / $138.50	Facility		$69.09	$86.09	$138.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $88.67	Professional		$38.65	$38.65	$88.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $78.26 / $105.65	Facility		$52.20	$78.26	$105.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $101.74 / $105.65	Professional		$66.52	$101.74	$105.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $80.58 / $296.73	Facility		$50.87	$80.58	$296.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $62.80 / $113.90	Professional		$39.79	$62.80	$113.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $80.58 / $302.29	Facility		$48.65	$80.58	$302.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $55.67 / $99.88	Professional		$39.79	$55.67	$99.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $64.56 / $93.92	Professional		$58.70	$64.56	$93.92
United Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $78.26 / $78.26	Facility		$39.13	$78.26	$78.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $47.99 / $109.34	Professional		$32.86	$47.99	$109.34