Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $106.77 / $155.27	Facility		$40.33	$106.77	$155.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $40.33 / $135.91	Professional		$26.71	$40.33	$135.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $55.45 / $89.21	Facility		$44.51	$55.45	$89.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $54.44	Professional		$24.90	$24.90	$54.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $50.41 / $68.05	Facility		$33.63	$50.41	$68.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $65.53 / $68.05	Professional		$42.85	$65.53	$68.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $51.91 / $191.15	Facility		$32.77	$51.91	$191.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $40.46 / $73.37	Professional		$25.59	$40.46	$73.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $51.91 / $194.31	Facility		$32.77	$51.91	$194.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $32.79 / $67.51	Professional		$25.59	$32.79	$67.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $41.59 / $60.49	Professional		$37.81	$41.59	$60.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $30.25 / $70.41	Professional		$21.17	$30.25	$70.41