Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $87.61 / $143.53	Facility		$37.28	$87.61	$143.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $83.30	Professional		$37.28	$37.28	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $50.33 / $82.47	Facility		$41.15	$50.33	$82.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $27.48 / $346.16	Professional		$21.14	$27.48	$346.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $60.58 / $76.89	Facility		$46.60	$60.58	$76.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $62.91 / $111.84	Professional		$60.58	$62.91	$111.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $53.01 / $314.17	Facility		$47.95	$53.01	$314.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $27.82 / $103.54	Professional		$21.79	$27.82	$103.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $58.76 / $314.17	Facility		$47.95	$58.76	$314.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $27.82 / $103.54	Professional		$21.79	$27.82	$103.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $41.94 / $57.66	Professional		$36.69	$41.94	$57.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $61.54	Professional		$19.57	$27.96	$61.54