Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.98 / $122.51 / $211.78	Facility		$56.98	$122.51	$211.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $56.98 / $102.82	Professional		$56.98	$56.98	$102.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $78.34 / $126.06	Facility		$62.90	$78.34	$126.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $28.49 / $72.40	Professional		$28.49	$28.49	$72.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $71.23 / $96.16	Facility		$37.50	$71.23	$96.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $92.60 / $96.16	Professional		$60.55	$92.60	$96.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $73.34 / $243.08	Facility		$46.30	$73.34	$243.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $46.30 / $102.22	Professional		$32.53	$46.30	$102.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $73.34 / $275.30	Facility		$35.07	$73.34	$275.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $37.19 / $70.28	Professional		$32.53	$37.19	$70.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $58.76 / $85.47	Professional		$53.42	$58.76	$85.47
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $42.74 / $85.48	Professional		$29.92	$42.74	$85.48