Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $123.01 / $242.53	Facility		$49.20	$123.01	$242.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $44.79 / $50.18	Professional		$30.75	$44.79	$50.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $67.65 / $108.84	Facility		$54.30	$67.65	$108.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $24.60 / $61.50	Professional		$20.73	$24.60	$61.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $61.50 / $83.03	Facility		$37.01	$61.50	$83.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $79.95 / $83.03	Professional		$52.28	$79.95	$83.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $63.33 / $143.86	Facility		$38.38	$63.33	$143.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $34.03 / $88.28	Professional		$21.92	$34.03	$88.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $63.33 / $234.50	Facility		$38.38	$63.33	$234.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $32.04 / $46.14	Professional		$21.92	$32.04	$46.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $55.35 / $76.11	Professional		$46.13	$55.35	$76.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $30.10 / $89.61	Professional		$20.16	$30.10	$89.61