Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $157.66 / $205.44	Facility		$53.36	$157.66	$205.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $53.36 / $79.79	Professional		$35.35	$53.36	$79.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $73.37 / $118.04	Facility		$58.90	$73.37	$118.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $32.94 / $73.70	Professional		$32.94	$32.94	$73.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $66.70 / $90.05	Facility		$44.49	$66.70	$90.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $86.71 / $90.05	Professional		$56.70	$86.71	$90.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $68.68 / $223.49	Facility		$43.36	$68.68	$223.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $53.53 / $97.10	Professional		$33.85	$53.53	$97.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $69.81 / $257.77	Facility		$43.36	$69.81	$257.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $44.94 / $88.97	Professional		$33.85	$44.94	$88.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $55.03 / $80.04	Professional		$50.03	$55.03	$80.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $40.02 / $93.16	Professional		$28.01	$40.02	$93.16