Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $99.18 / $152.72	Facility		$39.67	$99.18	$152.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $39.67 / $71.58	Professional		$39.67	$39.67	$71.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $53.56 / $87.76	Facility		$43.79	$53.56	$87.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $31.83 / $79.37	Professional		$24.49	$31.83	$79.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $64.47 / $81.81	Facility		$49.59	$64.47	$81.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $66.95 / $119.02	Professional		$64.47	$66.95	$119.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $72.02 / $282.98	Facility		$51.02	$72.02	$282.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $38.13 / $120.01	Professional		$25.26	$38.13	$120.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $72.02 / $282.98	Facility		$51.02	$72.02	$282.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $31.30 / $120.01	Professional		$25.26	$31.30	$120.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $44.62 / $61.36	Professional		$39.04	$44.62	$61.36
United Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $17.85 / $44.63	Facility		$17.85	$17.85	$44.63
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $29.75 / $79.98	Professional		$20.83	$29.75	$79.98