Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $90.56 / $136.40	Facility		$45.23	$90.56	$136.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $67.92	Professional		$45.22	$45.23	$67.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $45.28	Professional		$18.11	$18.11	$45.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $63.39 / $84.07	Facility		$38.49	$63.39	$84.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $58.86 / $61.13	Professional		$38.49	$58.86	$61.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $45.81 / $262.17	Facility		$22.29	$45.81	$262.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $45.23 / $66.90	Professional		$22.79	$45.23	$66.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $29.43 / $262.17	Facility		$22.29	$29.43	$262.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $45.23 / $59.46	Professional		$21.76	$45.23	$59.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.35 / $54.33	Professional		$33.96	$37.35	$54.33
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $40.75 / $51.49	Professional		$27.14	$40.75	$51.49