Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.89 / $140.65 / $207.48	Facility		$53.89	$140.65	$207.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $53.89 / $97.24	Professional		$53.89	$53.89	$97.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $74.09 / $119.21	Facility		$59.48	$74.09	$119.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $33.26 / $72.73	Professional		$33.26	$33.26	$72.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $67.36 / $90.94	Facility		$45.96	$67.36	$90.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $87.57 / $90.94	Professional		$57.26	$87.57	$90.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $69.34 / $255.41	Facility		$43.78	$69.34	$255.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $54.05 / $98.04	Professional		$34.18	$54.05	$98.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $69.34 / $260.44	Facility		$43.78	$69.34	$260.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $43.78 / $90.44	Professional		$34.18	$43.78	$90.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $55.57 / $80.83	Professional		$50.52	$55.57	$80.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $93.09	Professional		$28.29	$40.42	$93.09