Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.43 / $95.52 / $171.06	Facility		$44.43	$95.52	$171.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $44.43 / $55.54	Professional		$44.43	$44.43	$55.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $61.09 / $98.29	Facility		$49.04	$61.09	$98.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $55.54	Professional		$22.22	$22.22	$55.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $58.32 / $91.64	Facility		$47.21	$58.32	$91.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $72.20 / $133.30	Professional		$47.21	$72.20	$133.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $57.18 / $189.53	Facility		$36.10	$57.18	$189.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $36.10 / $80.02	Professional		$25.43	$36.10	$80.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $57.18 / $214.56	Facility		$36.10	$57.18	$214.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $36.10 / $68.28	Professional		$25.43	$36.10	$68.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $72.76	Professional		$23.33	$33.32	$72.76