Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $102.61 / $189.00	Facility		$38.95	$102.61	$189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $60.48 / $90.72	Professional		$20.95	$60.48	$90.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $83.16 / $133.79	Facility		$66.75	$83.16	$133.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.24 / $81.64	Professional		$17.80	$30.24	$81.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $79.38 / $113.40	Facility		$56.70	$79.38	$113.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $98.28 / $181.44	Professional		$64.26	$98.28	$181.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $77.84 / $257.99	Facility		$49.14	$77.84	$257.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $35.95 / $108.93	Professional		$13.80	$35.95	$108.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $77.84 / $292.83	Facility		$37.22	$77.84	$292.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $34.51 / $103.43	Professional		$13.79	$34.51	$103.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $65.20 / $90.72	Professional		$56.70	$65.20	$90.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $34.02 / $99.04	Professional		$10.50	$34.02	$99.04