Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $119.58 / $214.14	Facility		$55.62	$119.58	$214.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $69.52 / $72.33	Professional		$55.62	$69.52	$72.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $76.47 / $123.03	Facility		$61.39	$76.47	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $27.81 / $72.69	Professional		$27.81	$27.81	$72.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $73.00 / $114.71	Facility		$45.19	$73.00	$114.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $90.38 / $166.85	Professional		$59.09	$90.38	$166.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $71.58 / $237.25	Facility		$45.19	$71.58	$237.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $45.19 / $100.15	Professional		$31.87	$45.19	$100.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $71.58 / $268.57	Facility		$45.19	$71.58	$268.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $45.19 / $75.08	Professional		$31.87	$45.19	$75.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $38.24	Professional		$38.24	$38.24	$38.24
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $41.71 / $83.42	Professional		$29.20	$41.71	$83.42