Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $88.49 / $171.32	Facility		$41.16	$88.49	$171.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $83.30	Professional		$32.50	$39.31	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $55.57 / $91.05	Facility		$45.43	$55.57	$91.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $66.97 / $153.36	Professional		$55.81	$66.97	$153.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $59.17 / $77.18	Facility		$51.45	$59.17	$77.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $66.89 / $112.44	Professional		$51.45	$66.89	$112.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $58.52 / $293.60	Facility		$52.94	$58.52	$293.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $45.05 / $137.37	Professional		$23.61	$45.05	$137.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $64.87 / $293.60	Facility		$52.94	$64.87	$293.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $46.16 / $112.16	Professional		$23.61	$46.16	$112.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $46.30 / $63.67	Professional		$40.51	$46.30	$63.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $67.95	Professional		$21.61	$30.87	$67.95