Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.19 / $78.08 / $135.47	Facility		$35.19	$78.08	$135.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $35.19 / $118.59	Professional		$23.32	$35.19	$118.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.84 / $48.39 / $77.84	Facility		$38.84	$48.39	$77.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $21.72 / $47.50	Professional		$21.72	$21.72	$47.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $43.99 / $59.39	Facility		$29.34	$43.99	$59.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $57.19 / $59.39	Professional		$37.39	$57.19	$59.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $45.29 / $166.79	Facility		$28.59	$45.29	$166.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $35.29 / $64.03	Professional		$22.29	$35.29	$64.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $45.29 / $170.04	Facility		$28.59	$45.29	$170.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $33.11 / $58.74	Professional		$22.29	$33.11	$58.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $36.28 / $52.78	Professional		$32.99	$36.28	$52.78
United Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $43.99 / $43.99	Facility		$28.59	$43.99	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.39 / $61.46	Professional		$18.48	$26.39	$61.46