Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $190.00 / $235.93	Facility		$60.38	$190.00	$235.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $52.45 / $92.34	Professional		$45.00	$52.45	$92.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $69.08 / $113.19	Facility		$56.48	$69.08	$113.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $30.95 / $102.36	Professional		$25.58	$30.95	$102.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $73.55 / $95.94	Facility		$63.96	$73.55	$95.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $83.15 / $140.04	Professional		$63.96	$83.15	$140.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $80.65 / $1,704.91	Facility		$62.11	$80.65	$1,704.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $34.46 / $138.83	Professional		$29.22	$34.46	$138.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $80.65 / $431.17	Facility		$62.11	$80.65	$431.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $34.46 / $138.83	Professional		$29.22	$34.46	$138.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $57.56 / $79.15	Professional		$50.36	$57.56	$79.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $93.19	Professional		$26.86	$38.38	$93.19