Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $62.25 / $112.81	Facility		$29.30	$62.25	$112.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $34.79 / $83.30	Professional		$29.30	$34.79	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $39.54 / $64.81	Facility		$32.34	$39.54	$64.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $19.04 / $58.61	Professional		$14.65	$19.04	$58.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $42.11 / $54.93	Facility		$36.61	$42.11	$54.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $47.61 / $79.92	Professional		$36.61	$47.61	$79.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $41.65 / $208.96	Facility		$37.68	$41.65	$208.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $32.14 / $80.00	Professional		$16.68	$32.14	$80.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $41.65 / $208.96	Facility		$37.68	$41.65	$208.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $32.97 / $80.00	Professional		$16.68	$32.97	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.96 / $45.32	Professional		$28.84	$32.96	$45.32
United Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $43.94 / $43.94	Facility		$43.94	$43.94	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $48.36	Professional		$15.38	$21.97	$48.36