Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $96.02 / $157.31	Facility		$40.86	$96.02	$157.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $48.52 / $76.59	Professional		$40.86	$48.52	$76.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $55.16 / $90.38	Facility		$45.09	$55.16	$90.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $26.55 / $81.73	Professional		$20.43	$26.55	$81.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $66.39 / $84.27	Facility		$51.07	$66.39	$84.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $68.94 / $122.57	Professional		$66.39	$68.94	$122.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $58.10 / $291.50	Facility		$52.56	$58.10	$291.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $31.13 / $111.38	Professional		$23.45	$31.13	$111.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $64.41 / $291.50	Facility		$52.56	$64.41	$291.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $31.13 / $111.38	Professional		$23.45	$31.13	$111.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $45.96 / $63.19	Professional		$40.21	$45.96	$63.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $82.38	Professional		$21.45	$30.64	$82.38