Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $117.48 / $200.00	Facility		$54.84	$117.48	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $54.84 / $98.96	Professional		$41.58	$54.84	$98.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $74.03 / $121.31	Facility		$60.53	$74.03	$121.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $35.64 / $109.71	Professional		$27.42	$35.64	$109.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $89.12 / $113.11	Facility		$68.55	$89.12	$113.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $92.54 / $164.52	Professional		$89.12	$92.54	$164.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $77.98 / $391.24	Facility		$70.54	$77.98	$391.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $36.83 / $149.03	Professional		$27.44	$36.83	$149.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $79.04 / $391.24	Facility		$70.54	$79.04	$391.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $36.83 / $149.03	Professional		$27.44	$36.83	$149.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $61.69 / $84.82	Professional		$53.98	$61.69	$84.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $41.13 / $99.88	Professional		$25.01	$41.13	$99.88