Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $78.39 / $167.24	Facility		$43.44	$78.39	$167.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $51.59 / $56.50	Professional		$27.14	$51.59	$56.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $59.73 / $96.09	Facility		$47.95	$59.73	$96.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $21.72 / $41.70	Professional		$14.24	$21.72	$41.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $57.02 / $89.60	Facility		$46.16	$57.02	$89.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $70.59 / $130.32	Professional		$46.16	$70.59	$130.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $55.92 / $185.33	Facility		$35.29	$55.92	$185.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $35.29 / $77.95	Professional		$24.77	$35.29	$77.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $55.92 / $210.53	Facility		$26.73	$55.92	$210.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $35.29 / $48.18	Professional		$24.77	$35.29	$48.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $29.87	Professional		$29.87	$29.87	$29.87
United Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $48.87	Facility		$19.55	$19.55	$48.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.58 / $65.16	Professional		$22.81	$32.58	$65.16