Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $134.49 / $198.39	Facility		$51.53	$134.49	$198.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $51.53 / $64.41	Professional		$51.53	$51.53	$64.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $70.84 / $113.99	Facility		$56.87	$70.84	$113.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $31.81 / $69.56	Professional		$31.70	$31.81	$69.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $64.41 / $86.95	Facility		$43.95	$64.41	$86.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $83.73 / $86.95	Professional		$54.75	$83.73	$86.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $66.31 / $240.52	Facility		$41.87	$66.31	$240.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $51.69 / $93.76	Professional		$32.69	$51.69	$93.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $66.31 / $244.23	Facility		$41.87	$66.31	$244.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $41.87 / $86.49	Professional		$32.69	$41.87	$86.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $57.97 / $79.71	Professional		$48.31	$57.97	$79.71
United Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $77.29	Facility		$77.29	$77.29	$77.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $89.99	Professional		$27.05	$38.65	$89.99