Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $66.81 / $121.08	Facility		$31.45	$66.81	$121.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $35.75 / $66.48	Professional		$31.45	$35.75	$66.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $42.45 / $69.56	Facility		$34.71	$42.45	$69.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $20.43 / $62.91	Professional		$15.72	$20.43	$62.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $51.10 / $64.86	Facility		$39.31	$51.10	$64.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $53.07 / $94.34	Professional		$51.10	$53.07	$94.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $44.71 / $224.33	Facility		$35.08	$44.71	$224.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $31.12 / $85.49	Professional		$18.00	$31.12	$85.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $44.71 / $224.33	Facility		$35.08	$44.71	$224.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $31.12 / $85.49	Professional		$18.00	$31.12	$85.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $35.37 / $48.64	Professional		$30.95	$35.37	$48.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $51.92	Professional		$16.51	$23.59	$51.92