Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $80.45 / $242.38	Facility		$19.12	$80.45	$242.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $64.37 / $80.45	Professional		$40.22	$64.37	$80.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $88.51 / $142.38	Facility		$71.05	$88.51	$142.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $32.18 / $64.20	Professional		$5.25	$32.18	$64.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $80.45 / $108.62	Facility		$41.11	$80.45	$108.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $104.60 / $108.62	Professional		$68.39	$104.60	$108.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $82.79 / $274.58	Facility		$19.43	$82.79	$274.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $36.82 / $105.99	Professional		$5.52	$36.82	$105.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $82.84 / $311.73	Facility		$15.71	$82.84	$311.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $11.57 / $52.30	Professional		$5.52	$11.57	$52.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $72.42 / $99.57	Professional		$60.35	$72.42	$99.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $36.21 / $129.78	Professional		$5.18	$36.21	$129.78