Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.77 / $142.38 / $207.01	Facility		$53.77	$142.38	$207.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $53.77 / $96.23	Professional		$53.77	$53.77	$96.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $73.93 / $118.94	Facility		$59.35	$73.93	$118.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $33.19 / $76.16	Professional		$33.19	$33.19	$76.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $67.20 / $90.73	Facility		$44.83	$67.20	$90.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $87.37 / $90.73	Professional		$57.13	$87.37	$90.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $69.20 / $254.84	Facility		$43.69	$69.20	$254.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $53.94 / $97.83	Professional		$34.18	$53.94	$97.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $69.20 / $260.44	Facility		$43.69	$69.20	$260.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $38.57 / $90.03	Professional		$34.10	$38.57	$90.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $55.45 / $80.65	Professional		$50.41	$55.45	$80.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $97.92	Professional		$28.23	$40.33	$97.92