Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $135.46 / $199.82	Facility		$51.90	$135.46	$199.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $51.90 / $93.65	Professional		$51.90	$51.90	$93.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $71.37 / $114.82	Facility		$57.29	$71.37	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $70.06	Professional		$32.04	$32.04	$70.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $64.88 / $87.59	Facility		$44.27	$64.88	$87.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $84.34 / $87.59	Professional		$55.15	$84.34	$87.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $66.80 / $246.02	Facility		$42.17	$66.80	$246.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $52.07 / $94.44	Professional		$33.02	$52.07	$94.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $66.80 / $250.99	Facility		$42.17	$66.80	$250.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $42.17 / $87.12	Professional		$33.02	$42.17	$87.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $53.52 / $77.85	Professional		$48.66	$53.52	$77.85
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.93 / $104.65	Professional		$27.25	$38.93	$104.65